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Bret J. Spier, Abdullah A. Fayyad, Michael R. Lucey, Eric A

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Presentation on theme: "Bret J. Spier, Abdullah A. Fayyad, Michael R. Lucey, Eric A"— Presentation transcript:

1 Bleeding Stomal Varices: Case Series and Systematic Review of the Literature 
Bret J. Spier, Abdullah A. Fayyad, Michael R. Lucey, Eric A. Johnson, Myron Wojtowycz, Layton Rikkers, Bruce A. Harms, Mark Reichelderfer  Clinical Gastroenterology and Hepatology  Volume 6, Issue 3, Pages (March 2008) DOI: /j.cgh Copyright © 2008 AGA Institute Terms and Conditions

2 Figure 1 Selection of the articles for the systematic review.
Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

3 Figure 2 (A) CT angiogram performed 2 years after the first episodes of stomal bleeding in patient 7. The study was performed during selective injection of iodinated contrast medium into her superior mesenteric artery with scans obtained during the portal venous phase. Tortuous dilated veins are present at the left-sided ileostomy. (B) Reprojected CT image from the same study during the portal venous phase (anteroposterior view of the abdomen). The patient has chronic occlusion of the main portal vein, immediately superior to the superior mesenteric vein (open arrow). The veins of the stoma (solid arrow) are enlarged, congested, and in communication with multiple prominent body wall collateral vessels (curved arrows). Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions

4 Figure 3 Suggested algorithm for management of bleeding stomal varices. Epi, epinephrine; MELD, Model for End-Stage Liver Disease. Clinical Gastroenterology and Hepatology 2008 6, DOI: ( /j.cgh ) Copyright © 2008 AGA Institute Terms and Conditions


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