Treatment of colonic varices with a superior mesenteric venous stent:a case report describing a unique approach  

作　　者：Sandra Naffouj Mustafa Al-Shammari Reena Salgia 

机构地区：[1]Department of Internal Medicine,Henry Ford Hospital,Detroit,MI,USA [2]Division of Gastroenterology and Hepatology,Department of Medicine,Henry Ford Hospital,Detroit,MI,USA

出　　处：《Gastroenterology Report》2021年第6期597-599,共3页胃肠病学报道（英文）

摘　　要：Introduction Ectopic varices are a rare cause of gastrointestinal(GI)bleeding that may occur in the GI tract outside the esophageal and gastric distribution[1].The majority of these cases are rectal varices in cirrhotic patients with portal hypertension.Colonic varices(CV)are less common than rectal,duodenal,and smallbowel varices[2].There are no clear guidelines for managing CV given the rarity of this finding[3].We report a case of massive lower-GI bleeding due to CV in a patient with non-alcoholic steatohepatitis(NASH)without cirrhosis or portal hypertension secondary to porto-mesenteric venous thrombosis that was successfully treated with superior mesenteric venous(SMV)stenting.Given the extent of the mesenteric thrombosis,treatment modalities like transjugular intrahepatic portosystemic shunt(TIPS)and balloon-occluded retrograde transvenous obliteration(BRTO)were not possible.

关 键 词：VENOUS VARICES BALLOON 

分 类 号：R574.62[医药卫生—消化系统]