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Gut. 1970 September; 11(9): 755–759.
PMCID: PMC1553119

Portal hypertension and bleeding ileal varices after colectomy and ileostomy for chronic ulcerative colitis

Abstract

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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Chapman ML, Janowitz HD. Chronic portal-systemic encephalopathy after ileostomy and colonic resection. Lancet. 1966 May 14;1(7446):1064–1065. [PubMed]
  • MISTILIS SP. PERICHOLANGITIS AND ULCERATIVE COLITIS. I. PATHOLOGY, ETIOLOGY, AND PATHOGENESIS. Ann Intern Med. 1965 Jul;63:1–16. [PubMed]

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