Successful Treatment of Stomal Variceal Bleeding with Percutaneous Injection Sclerotherapy

• 主要な著者: Takahiro Sato (著者), Mutsuumi Kimura (著者), Masakatsu Yamaguchi (著者), Takumi Ohmura (著者)
• フォーマット: 図書
• 出版事項: Archives of Clinical Gastroenterology - Peertechz Publications, 2015-08-28.
• 主題: Case Report
• オンライン･アクセス: Connect to this object online.

<p>Bleeding from ectopic varices is often massive and fatal with portal hypertension, and stomal varices can occur in patients with stoma. We aimed to treat a hepatitis B surface antigen positive 69 year-old male with liver cirrhosis associated hepatocellular carcinoma with bleeding stomal varices using percutaneous injection sclerotherapy. Percutaneous injection sclerotherapy was performed under fluoroscopy using 5% ethanolamine oleate with iopamidol (EOI) with a 25 gauge disposable injection needle; 5ml of 5% EOI were injected gradually. Injection sclerotherapy controlled acute bleeding in this patient without serious complication. The patient experienced no further episodes of bleeding during the 8 months following treatment with percutaneous injection sclerotherapy. In conclusion, percutaneous injection sclerotherapy remains an option for the treatment of patients with bleeding stomal varices.</p>