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Colonic variceal hemorrhage: diagnosis and management
Journal of Clinical Gastroenterology
|February 1, 1985
Insights
Colonic varices causing lower gastrointestinal bleeding are rare. Portosystemic shunt is an effective treatment, offering a better outcome than surgical resection for this condition.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Colonic varices are an uncommon cause of lower gastrointestinal bleeding.
- Diagnosis and management remain challenging due to their rarity.
Observation:
- A case of colonic varices presenting with lower gastrointestinal bleeding is reported.
- Diagnosis was established using angiography.
- Portosystemic shunt was employed as a therapeutic intervention.
Findings:
- Angiography successfully diagnosed the colonic varices.
- Portosystemic shunt proved to be a beneficial treatment modality.
- Literature review suggests resection attempts for colonic varices have high mortality rates.
Implications:
- Portosystemic shunt is recommended as the primary treatment for colonic varices.
- This approach offers a potentially life-saving alternative to surgical resection.
- Further research into optimal management strategies for colonic varices is warranted.
Abstract:
Lower gastrointestinal bleeding colonic varices is infrequent. We report a patient in whom the diagnosis was made by angiography and in whom portosystemic shunt has been helpful. We believe that the treatment of choice for colonic varices is portosystemic shunt, as attempts at resection, judged by the reports in the literature, have usually resulted in death.