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Recurrent stomal variceal bleeding. Successful treatment using injection sclerotherapy
Diseases of the Colon and Rectum
|April 1, 1986
Summary
Stomal varices can cause severe bleeding in patients with gastrointestinal stomas and portal hypertension. Injection sclerotherapy offers a promising treatment to reduce bleeding events and blood transfusions.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Background:
- Stomal varices are a potential complication in patients with gastrointestinal stomas and portal hypertension.
- Recurrent bleeding from stomal varices can be life-threatening and necessitate frequent blood transfusions.
Observation:
- A 48-year-old female patient experienced six significant stomal variceal bleeds requiring 20 units of blood within four months.
- The patient underwent paravariceal injection sclerotherapy using sodium tetradecyl sulfate, ethanol, and saline.
Findings:
- Following sclerotherapy, the patient required only 3 units of blood over a 20-month follow-up period.
- This indicates a substantial reduction in bleeding frequency and severity.
Implications:
- Injection sclerotherapy is a viable and effective treatment option for managing recurrent stomal variceal bleeding.
- This minimally invasive procedure can improve patient outcomes and reduce the need for transfusions.
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