ACASE OLF PORTALL HYPIERTENSIVE COLOPATHY TREATED BY TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT(TIPS)

Abstract

A 60-year-old man, who had been treated for alcoholic liver cirrhosis and esophagealvarices, was admitted to our hospital with hemorrhea. Emergency colonoscopy wasperformed, and showed the bleeding from near the splenic flexure of colon. Suspected ofthe bleeding associated with portal hypertension, and because of multiple bleeding points, we selected the treatment by transjugular intrahepatic portosystemic shunt(TIPS). Afterthe TIPS, the bleeding from colon was controlled and the colonoscopic findings showedportal hypertensive colopathy, including multiple erosions, vascular spider like lesions, tree angiodysplasia-1ike lesions with coagula, and rectal varices. These findings were improvedafter one month of the TIPS. TIPS may become a useful treatment for bleeding fromportal hypertensive colopathy.