Document Detail

Portal hypertension and bleeding ileal varices after colectomy and ileostomy for chronic ulcerative colitis.
MedLine Citation:
PMID:  5312107     Owner:  NLM     Status:  MEDLINE    
Two patients are described with chronic liver disease and portal hypertension in association with ulcerative colitis for which colectomy and ileostomy had been performed. Both patients developed bleeding from the varices situated around the ileostomy stoma and one also bled from the oesophageal varices. Each had a successful portacaval shunt performed because of this bleeding. The occurrence of such ileal varices is uncommon, but is important as a manifestation of portal hypertension. Although it can usually be easily controlled by local measures, portal-systemic shunt should always be considered, particularly as such patients are also very likely to bleed from oesophageal varices.
A D Cameron; D J Fone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gut     Volume:  11     ISSN:  0017-5749     ISO Abbreviation:  Gut     Publication Date:  1970 Sep 
Date Detail:
Created Date:  1970-12-10     Completed Date:  1970-12-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  2985108R     Medline TA:  Gut     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  755-9     Citation Subset:  AIM; IM    
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MeSH Terms
Colectomy / adverse effects*
Colitis, Ulcerative / complications,  surgery*
Gastrointestinal Hemorrhage / etiology*
Hypertension, Portal / etiology*
Ileostomy / adverse effects*
Liver / pathology
Liver Diseases / complications
Liver Function Tests
Middle Aged
Portacaval Shunt, Surgical
Varicose Veins / etiology

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

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