This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (39)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Uncommon Site of Variceal Bleeding

Martin A. Adson, MD; Richard E. Fulton, MD

Arch Surg. 1977;112(4):501-504.

Abstract
• Patients who have chronic ulcerative colitis coexisting with liver disease and portal hypertension may suffer hemorrhagic parastomal varices after proctocolectomy and ileostomy. Large portal systemic collateral vessels between the superior mesenteric venous tributaries and the abdominal wall can be demonstrated by portal venography. Hemorrhage occurs from the mucocutaneous junction, a vulnerable point in this collateral circuit. Management by major and minor stomal revisions has been unsuccessful. Three patients who have bled from stomal and from esophagogastric varices were treated with portasystemic shunts. None of the three has had recurrent bleeding or postshunt encephalopathy during the 19 to 27 months after these operations.

(Arch Surg 112:501-504, 1977)

Author Affiliations
From the Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Accepted for publication Dec 8, 1976.

Read before the 84th annual meeting of the Western Surgical Association, Coronado, Calif, Nov 16, 1976.

Reprint requests to Mayo Clinic, Rochester, MN 55901 (Dr Adson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Conservative Treatment of Bleeding Stomal Varices
Grundfest-Broniatowski and Fazio
Arch Surg 1983;118:981-985.
ABSTRACT  

Massive Lower Gastrointestinal Bleeding From Intestinal Varices
Wilson et al.
Arch Surg 1979;114:1158-1161.
ABSTRACT