Related Experiment Video

Updated: Jun 23, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Chronic gastrointestinal bleeding from ileal varices after total proctocolectomy for ulcerative colitis: correction

R L Ricci, K R Lee, N J Greenberger

    Gastroenterology
    |May 1, 1980
    PubMed

    Insights

    A patient with ulcerative colitis experienced severe ileostomy bleeding. Specialized arteriography revealed ileal varices, successfully treated with a mesocaval shunt, preventing further hemorrhage.

    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Diagnostic Imaging

    Background:

    • Ulcerative colitis management can involve proctocolectomy and ileostomy.
    • Post-procedural ileostomy bleeding is a potential complication.

    Observation:

    • A 48-year-old woman presented with persistent ileostomy bleeding for 24 months post-surgery.
    • Initial investigations including endoscopy and exploratory laparotomy failed to identify the bleeding source.

    Findings:

    • Detailed arteriography with specific venous phase imaging identified ileal varices as the cause of bleeding.
    • A mesocaval shunt significantly reduced portal pressure.

    Implications:

    • This case highlights the diagnostic value of specialized venous phase arteriography in obscure gastrointestinal bleeding.
    • Mesocaval shunt is an effective treatment for refractory ileostomy bleeding caused by ileal varices.

    More Related Videos

    Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices04:09

    Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

    Published on: June 13, 2025

    Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection06:46

    Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

    Published on: January 9, 2026

    Related Concept Videos

    Esophageal Varices-I: Introduction01:24

    Esophageal Varices-I: Introduction

    Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
    Esophageal Varices-II: Clinical Features and Management01:28

    Esophageal Varices-II: Clinical Features and Management

    Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
    In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
    Inflammatory Bowel Disease V: Surgical Management01:21

    Inflammatory Bowel Disease V: Surgical Management

    Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
    Here are some common surgical interventions for IBD:
    Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

    Peptic Ulcer Disease V: Surgical Management and Nursing Care

    Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
    Surgical Interventions for Peptic Ulcer Disease