Stomal Varices Management With Decompression TIPS and Transvenous Obliteration or Sclerosis》.pdfVIP

Stomal Varices: Management With Decompression TIPS and Transvenous Obliteration or Sclerosis Wael E. Saad, MD, FSIR,* Nael E. Saad, MD,† and Jun Koizumi, MD, PhD‡ Stomal or parastomal varices are extraperitoneal ectopic mesenteric varices. Parastomal varices are not common but can be a source of considerable bleeding. They usually occur in the setting of portal hypertension, although, in theory, they can occur because of vascular thrombosis of the mesentery. An obstructive element (not nece