Treating Untreatable Rectal Varices
Background: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies bei...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2019-02-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/496121 |
| _version_ | 1818200651509792768 |
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| author | Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto |
| author_facet | Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto |
| author_sort | Mónica Garrido |
| collection | DOAJ |
| description | Background: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies being widely used, and both interventional radiology and surgery being considered for refractory bleeding rectal varices. Case: We report the case of a 61-year-old male with hepatic cirrhosis and bleeding rectal varices refractory to endoscopic therapy, successfully managed with a combination of transjugular intrahepatic portosystemic shunt (TIPS) and selective variceal embolization. Conclusions: Radiological techniques are effective options for refractory bleeding. Adding embolization to TIPS implantation could represent a valid adjunctive measure for haemostasis of recurrent rectal variceal bleeding. |
| first_indexed | 2024-12-12T02:41:03Z |
| format | Article |
| id | doaj.art-54afff48b11342be9f75b7f0542941c7 |
| institution | Directory Open Access Journal |
| issn | 2341-4545 2387-1954 |
| language | English |
| last_indexed | 2024-12-12T02:41:03Z |
| publishDate | 2019-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-54afff48b11342be9f75b7f0542941c72022-12-22T00:41:09ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542019-02-011510.1159/000496121496121Treating Untreatable Rectal VaricesMónica GarridoBelarmino GonçalvesSofia FerreiraMarta RochaMarta SalgadoIsabel PedrotoBackground: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies being widely used, and both interventional radiology and surgery being considered for refractory bleeding rectal varices. Case: We report the case of a 61-year-old male with hepatic cirrhosis and bleeding rectal varices refractory to endoscopic therapy, successfully managed with a combination of transjugular intrahepatic portosystemic shunt (TIPS) and selective variceal embolization. Conclusions: Radiological techniques are effective options for refractory bleeding. Adding embolization to TIPS implantation could represent a valid adjunctive measure for haemostasis of recurrent rectal variceal bleeding.https://www.karger.com/Article/FullText/496121Liver cirrhosisRectal varicesTransjugular intrahepatic portosystemic shuntTherapeutic embolization |
| spellingShingle | Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto Treating Untreatable Rectal Varices GE: Portuguese Journal of Gastroenterology Liver cirrhosis Rectal varices Transjugular intrahepatic portosystemic shunt Therapeutic embolization |
| title | Treating Untreatable Rectal Varices |
| title_full | Treating Untreatable Rectal Varices |
| title_fullStr | Treating Untreatable Rectal Varices |
| title_full_unstemmed | Treating Untreatable Rectal Varices |
| title_short | Treating Untreatable Rectal Varices |
| title_sort | treating untreatable rectal varices |
| topic | Liver cirrhosis Rectal varices Transjugular intrahepatic portosystemic shunt Therapeutic embolization |
| url | https://www.karger.com/Article/FullText/496121 |
| work_keys_str_mv | AT monicagarrido treatinguntreatablerectalvarices AT belarminogoncalves treatinguntreatablerectalvarices AT sofiaferreira treatinguntreatablerectalvarices AT martarocha treatinguntreatablerectalvarices AT martasalgado treatinguntreatablerectalvarices AT isabelpedroto treatinguntreatablerectalvarices |