Role of interventional radiology in intractable bleeding rectal varices
| Autor: | Mayada Ismail, Amir Ata Rhanemai-Azar, Maharshi Rajdev, Mohammed Al-Natour, Eric McLoney, Sidhartha Tavri |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cirrhosis Urology Portal venous pressure medicine.medical_treatment Radiology Interventional 030218 nuclear medicine & medical imaging Varicose Veins 03 medical and health sciences 0302 clinical medicine Internal medicine Hypertension Portal medicine Humans Radiology Nuclear Medicine and imaging Anorectal varices Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Gastroenterology Interventional radiology Hepatology medicine.disease 030220 oncology & carcinogenesis Liver biopsy Portal hypertension Radiology Portasystemic Shunt Transjugular Intrahepatic Gastrointestinal Hemorrhage business Transjugular intrahepatic portosystemic shunt |
| Zdroj: | Abdominal Radiology. 46:1163-1170 |
| ISSN: | 2366-0058 2366-004X |
| DOI: | 10.1007/s00261-020-02746-6 |
| Popis: | In the setting of portal hypertension, intractable bleeding from anorectal varices is a rare occurrence. In this review, clinical presentation and management of this dilemma are presented in a case-based fashion. Bleeding may occur in the absence of prior history of cirrhosis or gastroesophageal varices and measurement of hepatic venous pressure gradient and liver biopsy could help to establish the diagnosis. Successful treatment outcome necessitates tailoring treatment to the patient's anatomy and imaging findings. A multidisciplinary algorithmic approach is also proposed to aid clinicians in this regard. |
| Databáze: | OpenAIRE |
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