clinicopathological features and treatment of ectopic varices with portal hypertension临床病理的特点及与门静脉高压治疗异位静脉曲张.pdfVIP

SAGE-Hindawi Access to Research International Journal of Hepatology Volume 2011, Article ID 960720, 9 pages doi:10.4061/2011/960720 Review Article Clinicopathological Features and Treatment of Ectopic Varices with Portal Hypertension Takahiro Sato, Jun Akaike, Jouji Toyota, Yoshiyasu Karino, and Takumi Ohmura Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, Sapporo 060-0033, Japan Correspondence should be addressed to Takahiro Sato, taka.sato@ja-hokkaidoukouseiren.or.jp Received 15 January 2011; Accepted 12 May 2011 Academic Editor: Deepak Amarapurkar Copyright © 2011 Takahiro Sato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Bleeding from ectopic varices, which is rare in patients with portal hypertension, is generally massive and life-threatening. Forty- three patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The frequency of ectopic varices was 43/1218 (3.5%) among portal hypertensive patients in our ward. The locations of the ectopic varices were rectal in thirty-two, duodenal in three, intestinal in two, vesical in three, stomal in one, and colonic in two patients. Endoscopic or interventional radiologic treatment was performed successfully for ectopic varices. Hemorrhage from ectopic varices should be kept in mind in patients with portal hypertension presenting with lower gastrointestinal bleeding. 1. Introduction 2. Clinicopathological Features of Ectopic Varices Portal hypertension can result in e