Journal of Japanese Society of Stoma and Continence Rehabilitation
Online ISSN : 2434-3056
Print ISSN : 1882-0115
Five Cases of Recurrent Stomal Variceal Hemorrhage
Hideaki KawashimaMotoya KashiyamaSayuri SekikawaNatsue Takahashi
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2010 Volume 26 Issue 2 Pages 15-20

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Abstract
We herein present 5 cases with recurrent stomal variceal hemorrhage. The ages of these patients averaged 60.2±8.8 years (range 50~67 years). The initial hemorrhage from these stomal varices occurs at 3 years 3 months±3 years 5 months average (range 50 days ~ 9 years). We undertook temporary hemostasis by stomal manipulation in all patients. We used several methods for hemostasis of variceal bleeding : phenol injection sclerotherapy in four cases, suture ligation in three cases, ligation with rubber ring in 2 cases, and embolization of splenic artery in one case. In patients with alcoholic liver cirrhosis liver function were improved, stomal varices were improved by abstinence, and bleeding was prevented. We provided innovative stomal care by using 2 colostomy devices with a larger hole cut and a paste-type skin barrier to prevent stomal irritation.
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