Use of Non-Selective Beta-Blocker for Refractory Stomal Variceal Hemorrhage

Mu, Xin and Winsor, Wendy and Trahey, Julia (2021) Use of Non-Selective Beta-Blocker for Refractory Stomal Variceal Hemorrhage. Case Reports in Gastroenterology, 15 (1). pp. 87-91. ISSN 1662-0631

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Abstract

Bleeding stomal varices are often difficult to manage given the comorbidities that are associated with their presentation. Here, we report a case of a 62-year-old female with stomal variceal hemorrhage in the setting of chronic portal vein thrombosis who was ineligible for transhepatic intrajugular portosystemic shunt or surgery as a result of her challenging anatomy and peri-operative risks. Despite coil embolization, this patient experienced refractory bleeds which ceased following the initiation of a non-selective beta-blocker (NSBB). This case provides further evidence for the expanding role of NSBBs as an important therapeutic agent for complicated ectopic varices.

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