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Woman With Hematochezia.
- Source :
-
Journal of acute medicine [J Acute Med] 2023 Sep; Vol. 13 (3), pp. 125-128. - Publication Year :
- 2023
-
Abstract
- As a consequence of cirrhosis, portal hypertension causes resistance to blood flow and leads to the formation of varices. However, colonic variceal hemorrhages are rarely reported but could be a lethal cause of lower gastrointestinal hemorrhage. Currently, there is no consensus on the management of colonic variceal hemorrhage. Variceal ligation, injection sclerotherapy, transjugular intrahepatic portosystemic shunt placement, and balloon-occluded retrograde transvenous obliteration or a combination of the above therapies have been reported with inconsistent success rates. We advocate considering colonic variceal bleeding as a crucial differential diagnosis of lower gastrointestinal bleeding in cirrhotic patients and initiating time-sensitive, definite operative treatment or combination therapy as soon as possible in colonic variceal patients with life-threatening bleeding events, which are often refractory to conservative treatment.
Details
- Language :
- English
- ISSN :
- 2211-5587
- Volume :
- 13
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of acute medicine
- Publication Type :
- Academic Journal
- Accession number :
- 37841820
- Full Text :
- https://doi.org/10.6705/j.jacme.202309_13(3).0005