Bleeding varices of the small bowel as a complication of pancreatitis: Case report and review of the literature

Lein, Brian C.; McCombs, Peter R.

doi:10.1007/bf02067083

Cited by 17 publications

(24 citation statements)

References 9 publications

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“…In some cases of portal hypertension due to extrahepatic portal venous stenosis or obstruction where a cholangiojejunostomy has been previously performed, hepatopetal collaterals develop through the anastomosis thus causing varices at the afferent loop that can rupture and bleed. 4,5 There have been reports of jejunal resection performed for bleeding jejunal varices caused by extrahepatic portal venous stenosis. 1,5 However, in cases such as the present ones where jejunal varices developed with hepatopetal collaterals, cutting off the hepatopetal collaterals may even increase the portal pressure and thus induce a recurrence of varices.…”

Section: Discussionmentioning

confidence: 99%

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Portal Venous Dilatation and Stenting for Bleeding Jejunal Varices: Report of Two Cases

et al. 2001

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We present two patients who underwent a portal stent placement for bleeding jejunal varices of the afferent loop caused by extrahepatic portal venous stenosis. Case 1 involved a 66-year-old woman who developed bleeding jejunal varices due to extrahepatic portal venous stenosis 1 year after a pancreaticoduodenectomy with intraoperative radiation therapy. Percutaneous transhepatic balloon dilatation and stent placement were performed. Since undergoing the procedure, no bleeding has occurred. Case 2 concerned a 44-year-old woman who had a rupture and bleeding of jejunal varices 16 years after a choledocojejunostomy. Stenosis was observed from the right and left branches of the portal vein to its intrahepatic branches. Both balloon dilatation and stent placement were attempted. However, the stent could not be fully inserted into the intrahepatic portal vein. Portal stent placement is less invasive and radical, and therefore should be attempted for the treatment of extrahepatic portal venous stenosis. However, there are limits to its application if the stenosis extends to the intrahepatic branches of the portal vein.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] We performed a dilatation of a stenosed portal vein and following stent placement in two patients for bleeding jejunal varices caused by extrahepatic portal venous stenosis which developed subsequent to a previous choledocojejunostomy, and herein report the results. …”

mentioning

confidence: 99%

Portal Venous Dilatation and Stenting for Bleeding Jejunal Varices: Report of Two Cases

et al. 2001

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“…Portal vein occlusion is less common [111]. Colonic or small bowel varices have been reported sporadically [112,113]. The pathogenesis of vein thrombosis is due to progressive fibrosis of the pancreatic and peripancreatic tissues resulting in occlusion of the nearby veins.…”

Section: Hem Orrhagementioning

confidence: 99%

“…Transjugular portosys temic shunting is an advanced method with very few cases being reported in the literature [119], If the splenic vein is thrombosed splenectomy is recommended. Varices in the intestine should be treated with resection of the affected part [113].…”

Section: Hem Orrhagementioning

confidence: 99%

Complications in Chronic Pancreatitis

Ch.¹,

Friess²,

Uhl³

1996

Dig Surg

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Recent advances in molecular and cellular biology have generated a better understanding of chronic pancreatitis. This disease is characterised histologically by a progressive inflammatory disease with irreversible pathological changes leading to insufficient secretion from both the exocrine and endocrine pancreas. The most common complications in chronic pancreatitis are intractable pain and the development of complicated pseudocysts. The present review will deal with these complications as well as bleeding, pancreatic ascites and pleural effusions, jaundice, and intestinal obstruction. Each complication will be described in detail with their pathogenesis and their medical, interventional and surgical treatment options.

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“…S-B varices have been diagnosed mainly by endoscopy or angiography [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

mentioning

confidence: 99%

Small bowel varices: report of two cases

et al. 1998

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Two cases of small bowel (S-B) varices associated with portal hypertension, one with liver cirrhosis and one with portal thrombus, are reported. Detection of S-B varices has been a challenging task and several invasive diagnostic techniques have been used for this purpose. However, in our cases, color Doppler sonography revealed the S-B varices supplied by the superior mesenteric vein and draining to the iliac (one case) or ovarian vein (other case), which helped to establish an early appropriate diagnostic and treatment plan.

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Bleeding varices of the small bowel as a complication of pancreatitis: Case report and review of the literature

Cited by 17 publications

References 9 publications

Portal Venous Dilatation and Stenting for Bleeding Jejunal Varices: Report of Two Cases

Portal Venous Dilatation and Stenting for Bleeding Jejunal Varices: Report of Two Cases

Complications in Chronic Pancreatitis

Small bowel varices: report of two cases

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