Document Detail

Conservative treatment of bleeding stomal varices.
MedLine Citation:
PMID:  6603209     Owner:  NLM     Status:  MEDLINE    
We treated seven cases of bleeding stomal varices and reviewed the literature. The average survival time of conservatively treated patients was 3.9 years. In many cases, other stigmata of liver disease later develop, such as pancytopenia, hepatic encephalopathy, and esophageal varices. Death from stomal bleeding is rare, and such bleeding can usually be controlled by local pressure, direct ligation, or parastomal varices. Death is usually from hepatic failure rather than bleeding per se, and there is no evidence that portosystemic shunting prolongs survival. Conservative therapy is preferable to portosystemic shunting, except when there are bleeding esophageal varices or when bleeding cannot be controlled by local measures.
S Grundfest-Broniatowski; V Fazio
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  118     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-08-26     Completed Date:  1983-08-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  981-5     Citation Subset:  AIM; IM    
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MeSH Terms
Alcoholism / complications
Ascites / complications
Colon / blood supply*,  surgery
Colostomy / adverse effects*
Esophageal and Gastric Varices / complications
Gastrointestinal Hemorrhage / etiology,  therapy*
Ileostomy / adverse effects*
Ileum / blood supply*
Liver Diseases / complications
Liver Function Tests
Middle Aged
Varicose Veins / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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