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Journals / Turkish Journal of Gastroenterology / 2013 / Cilt: 24 - Sayı: 4

Successful treatment with transjugular intrahepatic portosystemic shunt (TIPS) of recurrent massive rectal bleeding due to portal hypertension: Case report

Portal hipertansiyona bağlı tekrarlayan masif rektal kanamanın transjuguler intrahepatik portosistemik şant(TIPS) ile başarılı tedavisi

Yakup YEŞİLKAYA
Barbaros ÇİL
Bora PEYNİRCİOLU
HALİS ŞİMŞEK
Pages
363–366
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We report a case of successful transjugular intrahepatic portosystemic shunt in controlling massi- ve recurrent rectal variceal bleeding in an elderly male patient.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Bleeding from anorectal varices can be massive and life-threatening.
📊
Key Findings & Data:Numerous treatment options are available for management of bleeding anorectal varices, but none of them has demonstrated definitive efficacy.
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Conclusion & Impact:We report a case of successful transjugular intrahepatic portosystemic shunt in controlling massi- ve recurrent rectal variceal bleeding in an elderly male patient.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Bleeding from anorectal varices can be massive and life-threatening. Punctual separation between hemorrhoids and anorectal va- rices is important. Numerous treatment options are available for management of bleeding anorectal varices, but none of them has demonstrated definitive efficacy. We report a case of successful transjugular intrahepatic portosystemic shunt in controlling massi- ve recurrent rectal variceal bleeding in an elderly male patient.

Özet

Anorektal varislerden kaynaklı kanamalar masif ve hayatı tehdit edici olabilir. Anorektal varislerle hemoroidin zamanında ayırt edilmesi önemlidir. Anorektal varis kanamalarında çeşitli tedavi seçenekleri vardır fakat bu tedavilerle ilgili kesin sonuçlar belir- sizdir. Biz bu olguda yaşlı bir erkek hastada tekrarlayan masif rektal variseal kanamanın transjugular intrahepatik portosistemik şantla etkin tedavisini sunacağız.

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Cite This Article

YEŞİLKAYA, Y., ÇİL, B., PEYNİRCİOLU, B., ŞİMŞEK, H. (2013). Successful treatment with transjugular intrahepatic portosystemic shunt (TIPS) of recurrent massive rectal bleeding due to portal hypertension: Case report. Turkish Journal of Gastroenterology, Cilt: 24 - Sayı: 4, 363–366. https://ajindex.com/articles/410213

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References (15)

  1. Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, haemorrhoids, and portal hypertension. Lancet 1989; 1:349-52
  2. Herman BE, Baum S, Denobile J, Volpe RJ. Massive bleeding from rectal varices. Am J Gastroenterol 1993; 88:939- 42
  3. Katz JA, Rubin RA, Cope C, et al. Recurrent bleeding from anorectal varices: successful treatment with a transjugular intrahepatic portosystemic shunt. Am J Gastroenterol 1993; 88:1104-7
  4. Hosking SW, Johnson AG. Gastric varices: a proposed classification leading to management. Br J Surg 1988; 75:195- 6
  5. Hosking SW, Johnson AG. Bleeding anorectal varices--a misunderstood condition. Surgery 1988; 104:70-3
  6. Weinshel E, Chen W, Falkenstein DB, et al. Hemorrhoids or rectal varices: defining the cause of massive rectal hemorrhage in patients with portal hypertension. Gastroenterology 1986; 90:744-7
  7. Garcia-Tsao G, Groszmann RJ, Fisher RL, et al. Portal pressure, presence of gastroesophageal varices and variceal bleeding. Hepatology 1985; 5:419-24
  8. Jalan R, Redhead DN, Forrest EH, Hayes PC. Relationship between directly measured portal pressure gradient and variceal hemorrhage. Am J Gastroenterol 1995; 90:1994-6
  9. Goenka MK, Kochhar R, Nagi B, Mehta SK. Rectosigmoid varices and other mucosal changes in patients with portal hypertension. Am J Gastroenterol 1991; 86:1185-9
  10. Richon J, Berclaz R, Schneider PA, Marti MC. Sclerotherapy of rectal varices. Int J Colorectal Dis 1988; 3:132-4
  11. Levine J, Tahiri A, Banerjee B. Endoscopic ligation of bleeding rectal varices. Gastrointest Endosc 1993; 39:188-90
  12. Yeh T Jr, McGuire HH Jr. Intractable bleeding from anorectal varices relieved by inferior mesenteric vein ligation. Gastroenterology 1994; 107:1165-7
  13. Demirel H, Pieterman H, Lameris JS, van Buuren HR. Transjugular embolization of the inferior mesenteric vein for bleeding anorectal varices after unsuccessful transjugular intrahepatic portosystemic shunt. Am J Gastroenterol 1997; 92:1226-7
  14. Rossle M, Haag K, Ochs A et al. The transjugular intrahepatic portosystemic stent-shunt procedure for variceal bleeding. N Engl J Med 1994; 330:165-71
  15. Johnson PA, Laurin J. Transjugular portosystemic shunt for treatment of bleeding stomal varices. Dig Dis Sci 1997; 42:440-2.