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KMID : 0191120070220030583
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Journal of Korean Medical Science
2007 Volume.22 No. 3 p.583 ~ p.587
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A Case of Successful Treatment of Stomal Variceal Bleeding with Transjugular Intrahepatic Portosystemic Shunt and Coil Embolization
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Han Seo-Goo
Han Ki-Jun
Cho Hyeon-Geun
Gham Chang-Woo
Choi Chang-Hwan
Hwang Sang-Yon
Song Soon-Young
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Abstract
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Variceal bleeding from enterostomy site is an unusual complication of portal hypertension. The bleeding, however, is often recurrent and may be fatal. The hemorrhage can be managed with local measures in most patients, but when these fail, surgical interventions or portosystemic shunt may be required. Herein, we report a case in which recurrent bleeding from stomal varices, developed after a colectomy for rectal cancer, was successfully treated by placement of transjugular intrahepatic portosystemic shunt (TIPS) with coil embolization. Although several treatment options are available for this entity, we consider that TIPS with coil embolization offers minimally invasive and definitive treatment.
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KEYWORD
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Varices, Stoma, Bleeding, Transjugular Intrahepatic Portosystemic Shunt (TIPS), Embolization
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