Successful hemostasis of intractable rectal variceal bleeding using variceal embolization
Successful hemostasis of intractable rectal variceal bleeding using variceal embolization
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DOI：
10.3748/wjg.v21.i8.2558
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发表时间：
2015-02-28
影响因子：
4.3
通讯作者：
Kim, Seung Up
中科院分区：
文献类型：
--
作者：
Ahn, Sung Soo;Kim, Eun Hye;Kim, Seung Up
门静脉高压引起门体分流沿着胃肠道，导致胃肠道静脉曲张。直肠静脉曲张及其出血是一种罕见的并发症，但如果没有适当的治疗，它可能是致命的。然而，由于其罕见性，目前还没有确定的治疗策略。在顽固性直肠静脉曲张出血的情况下，经颈静脉门体分流术可以是一种治疗的选择，使门静脉减压，从而实现止血。然而，在经颈静脉门体分流术成功后，直肠静脉曲张出血复发的情况下，需要采取其他措施控制出血。在这里，我们报告了一个肝硬化患者，即使在成功的经颈静脉门体分流术后，仍然发生了复发性直肠静脉曲张出血，并成功地进行了静脉曲张栓塞治疗。
Portal hypertension causes portosystemic shunting along the gastrointestinal tract, resulting in gastrointestinal varices. Rectal varices and their bleeding is a rare complication, but it can be fatal without appropriate treatment. However, because of its rarity, no established treatment strategy is yet available. In the setting of intractable rectal variceal bleeding, a transjugular intravenous portosystemic shunt can be a treatment of choice to enable portal decompression and thus achieve hemostasis. However, in the case of recurrent rectal variceal bleeding despite successful transjugular intravenous portosystemic shunt, alternative measures to control bleeding are required. Here, we report on a patient with liver cirrhosis who experienced recurrent rectal variceal bleeding even after successful transjugular intravenous portosystemic shunt and was successfully treated with variceal embolization.