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Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
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Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Published on: June 18, 2020

Colonic varices. Three case reports and review of the literature

E M Izsak, J M Finlay

    The American Journal of Gastroenterology
    |February 1, 1980
    PubMed

    Insights

    Colonic varices, often linked to portal hypertension, typically present as hematochezia. Portacaval shunt is the recommended treatment for severe cases of colonic varices.

    Area of Science:

    • Gastroenterology
    • Vascular Medicine

    Background:

    • Colonic varices are uncommon vascular anomalies in the colon.
    • Portal hypertension is a frequent underlying condition.

    Observation:

    • This study presents three new cases and reviews 29 additional cases from the literature.
    • Hematochezia is the predominant clinical presentation.

    Findings:

    • Sigmoidoscopy and superior mesenteric artery (SMA) arteriogram are identified as the most effective diagnostic modalities.
    • Portacaval shunt demonstrates efficacy in managing severe bleeding.

    Implications:

    • Early diagnosis and appropriate intervention are crucial for managing colonic varices.
    • Portacaval shunt surgery offers a viable solution for severe, life-threatening hemorrhage from colonic varices.

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