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学科主题临床医学
Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports
Wang, Lei1; Zhou, Jiao-lin2; Yang, Ning3; Zhang, Guan-nan2; Lu, Jun-yang2; Xiao, Yi2; Qiu, Hui-zhong2
刊名MEDICINE
2015
DOI10.1097/MD.0000000000000406
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
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60112
专题北京大学首钢医院_泌尿外科
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
推荐引用方式
GB/T 7714
Wang, Lei,Zhou, Jiao-lin,Yang, Ning,et al. Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports[J]. MEDICINE,2015,94(2).
APA Wang, Lei.,Zhou, Jiao-lin.,Yang, Ning.,Zhang, Guan-nan.,Lu, Jun-yang.,...&Qiu, Hui-zhong.(2015).Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports.MEDICINE,94(2).
MLA Wang, Lei,et al."Ectopic Variceal Bleeding From Colonic Stoma Two Case Reports".MEDICINE 94.2(2015).
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