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

[img] [English] PDF - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (235kB)

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.

Item Type: Article
URI: http://research.library.mun.ca/id/eprint/14876
Item ID: 14876
Additional Information: Memorial University Open Access Author's Fund
Keywords: Beta-blocker, Stomal varices, Portal vein thrombosis, Coil embolization
Department(s): Medicine, Faculty of
Date: 26 January 2021
Date Type: Publication
Digital Object Identifier (DOI): https://doi.org/10.1159/000510921
Related URLs:

Actions (login required)

View Item View Item

Downloads

Downloads per month over the past year

View more statistics