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Successful hemostasis of intractable rectal variceal bleeding using variceal embolization

 Sung Soo Ahn  ;  Eun Hye Kim  ;  Man Deuk Kim  ;  Won Jae Lee  ;  Seung Up Kim 
 World Journal of Gastroenterology, Vol.21(8) : 2558-2562, 2015 
Journal Title
 World Journal of Gastroenterology 
Issue Date
Adult ; Embolization, Therapeutic* ; Female ; Gastrointestinal Hemorrhage/diagnosis ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/therapy* ; Humans ; Hypertension, Portal/diagnosis ; Hypertension, Portal/etiology* ; Liver Cirrhosis, Alcoholic/complications* ; Liver Cirrhosis, Alcoholic/diagnosis ; Portasystemic Shunt, Transjugular Intrahepatic ; Rectum/blood supply* ; Recurrence ; Sigmoidoscopy ; Tomography, X-Ray Computed ; Treatment Outcome ; Varicose Veins/diagnosis ; Varicose Veins/etiology ; Varicose Veins/therapy*
Ectopic varices ; Embolization ; Rectal varices ; Transjugular intravenous portosystemic shunt ; Variceal bleeding
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.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
Kim, Seung Up(김승업) ORCID logo https://orcid.org/0000-0002-9658-8050
Kim, Eun Hye(김은혜) ORCID logo https://orcid.org/0000-0001-6691-6837
Ahn, Sung Soo(안성수) ORCID logo https://orcid.org/0000-0002-9002-9880
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