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学科主题: 临床医学
题名:
Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports
作者: Wang, Lei1; Zhou, Jiao-lin2; Yang, Ning3; Zhang, Guan-nan2; Lu, Jun-yang2; Xiao, Yi2; Qiu, Hui-zhong2
刊名: MEDICINE
发表日期: 2015
DOI: 10.1097/MD.0000000000000406
卷: 94, 期:2
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: EMBOLIZATION ; MANAGEMENT
英文摘要:

Parastomal variceal bleeding is a rare complication of portal hypertension, which often occurs in a recurrent manner and might be life-threatening in extreme situations. Treatment options vary, and no standard therapy has been established.

Herein, we report 2 such cases. The first patient suffered from parastomal variceal bleeding after Hartmann procedure for rectal cancer. Stomal revision was performed, but bleeding recurred 1 month later. The second patient developed the disease after Miles procedure for rectal cancer. Embolization via the percutaneous transhepatic approach was performed using the Onyx liquid embolic system (LES) (Micro Therapeutics Inc, dba ev3 Neurovascular) in combination with coils, and satisfactory results were obtained after a 4-month follow-up.

Our cases illustrate that surgical revision should be used with caution as a temporary solution due to the high risk of rebleeding, whereas transhepatic embolization via the Onyx LES and coils could be considered a safe and effective choice for skillful managers.

语种: 英语
WOS记录号: WOS:000348142400021
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60112
Appears in Collections:北京大学首钢医院_泌尿外科_期刊论文

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作者单位: 1.Peking Univ, Hlth Sci Ctr, Shougang Hosp, Wu Jieping Urol Ctr, Beijing 100871, Peoples R China
2.Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Gen Surg, Beijing 100730, Peoples R China
3.Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Intervent Radiol, Beijing 100730, Peoples R China
4.Peking Union Med Coll, Beijing 100021, Peoples R China

Recommended Citation:
Wang, Lei,Zhou, Jiao-lin,Yang, Ning,et al. Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports[J]. MEDICINE,2015,94(2).
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