Clinicopathological Features and Treatment of Ectopic Varices with Portal Hypertension

被引:65
作者
Sato, Takahiro [1 ]
Akaike, Jun [1 ]
Toyota, Jouji [1 ]
Karino, Yoshiyasu [1 ]
Ohmura, Takumi [1 ]
机构
[1] Sapporo Kosei Gen Hosp, Dept Gastroenterol, Chuo Ku, Kita 3 Higashi 8, Sapporo, Hokkaido 0600033, Japan
关键词
D O I
10.4061/2011/960720
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Bleeding from ectopic varices, which is rare in patients with portal hypertension, is generally massive and life-threatening. Fortythree patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The frequency of ectopic varices was 43/1218 (3.5%) among portal hypertensive patients in our ward. The locations of the ectopic varices were rectal in thirty-two, duodenal in three, intestinal in two, vesical in three, stomal in one, and colonic in two patients. Endoscopic or interventional radiologic treatment was performed successfully for ectopic varices. Hemorrhage from ectopic varices should be kept in mind in patients with portal hypertension presenting with lower gastrointestinal bleeding.
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共 101 条
[1]  
ACKERMAN NB, 1980, ARCH SURG-CHICAGO, V115, P1454
[2]   Successful management of bleeding duodenal varices by endoscopic variceal ligation and balloon-occluded retrograde transvenous obliteration [J].
Akazawa, Y ;
Murata, L ;
Yamao, T ;
Yamakawa, M ;
Kawano, Y ;
Nomura, N ;
Isomoto, H ;
Mizuta, Y ;
Murase, K ;
Kohno, S .
GASTROINTESTINAL ENDOSCOPY, 2003, 58 (05) :794-797
[3]   Recurrent bleeding from colon varices in portal hypertension: Successful prevention of recurrences by implantation of a transjugularly introduced intrahepatic stent shunt (TIPS) [J].
Allgaier, HP ;
Ochs, A ;
Haag, K ;
Hauenstein, KH ;
Tittor, W ;
Rossle, M ;
Blum, HE .
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1995, 120 (51-52) :1773-1776
[4]  
AMIN R, 1985, AM J GASTROENTEROL, V80, P13
[5]   Colonic varices treated by balloon-occluded retrograde transvenous obliteration in a cirrhotic patient with encephalopathy: a case report [J].
Anan, A ;
Irie, M ;
Watanabe, H ;
Sohda, T ;
Iwata, K ;
Suzuki, N ;
Yoshikane, M ;
Nakane, H ;
Hashiba, T ;
Yokoyama, M ;
Higashihara, H ;
Okazaki, M ;
Sakisaka, S .
GASTROINTESTINAL ENDOSCOPY, 2006, 63 (06) :880-884
[6]   ACUTE ILEAL VARICEAL HEMORRHAGE SECONDARY TO ESOPHAGEAL SCLEROTHERAPY [J].
ARST, HF ;
REYNOLDS, JDH .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1986, 8 (05) :603-604
[7]  
BARBISH AW, 1993, AM J GASTROENTEROL, V88, P90
[8]   EXTRAHEPATIC PORTAL VENOUS THROMBOSIS - FREQUENT RECOGNITION OF ASSOCIATED DISEASES [J].
BROWN, KM ;
KAPLAN, MM ;
DONOWITZ, M .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1985, 7 (02) :153-159
[9]   DETECTION OF PORTAL-HYPERTENSION AND ESOPHAGEAL-VARICES BY MEANS OF ENDOSCOPIC ULTRASONOGRAPHY [J].
CALETTI, GC ;
BOLONDI, L ;
ZANI, L ;
BROCCHI, E ;
GUIZZARDI, G ;
LABO, G .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1986, 21 :74-77
[10]   VALUE OF ENDOSCOPIC ULTRASONOGRAPHY IN THE MANAGEMENT OF PORTAL-HYPERTENSION [J].
CALETTI, GC ;
BROCCHI, E ;
FERRARI, A ;
FIORINO, S ;
BARBARA, L .
ENDOSCOPY, 1992, 24 :342-346