Journal of Japanese Society of Stoma Rehabilitation
Online ISSN : 2436-8806
Print ISSN : 0916-6440
SCLEROTHERAPY AND NURSING CARE FOR HEMORRHAGIC STOMAL VARICES
Keiko FujiwaraTomuko MurakamiNobuteru Kikkawa
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1994 Volume 10 Issue 2 Pages 39-44

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Abstract
 This report concerns a patient with recurrent and massive hemorrhaging from colostomy due to cirrhosis and hepatocellular carcinoma. Of the treatments used,sclerotherapy was the most effective and decisive. Complete cessation of bleeding was achieved by using soft appliances which could protect the mucocutaneous region around the varices,and by instruction about management of the bleeding and colostomy care in the patient daily life. With the decrease in the amount of bleeding,the worries and distress gradually diminished. Essential care for hemorrhagic varices consists of(1)a reduction in the venous pressure of varices,(2)the protection of the mucocutaneous region around the stoma,and(3)instruction on the management of the bleeding from the stoma and underlying diseases.
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