Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization.

Journal Article

PURPOSE: To describe how peristomal varices can be successfully embolized via a percutaneous parastomal approach. METHODS: The medical records of patients who underwent this procedure between December 1, 2000, and May 31, 2008, were retrospectively reviewed. Procedural details were recorded. Median fluoroscopy time and bleeding-free interval were calculated. RESULTS: Seven patients underwent eight parastomal embolizations. The technical success rate was 88 % (one failure). All embolizations were performed with coils combined with a sclerosant, another embolizing agent, or both. Of the seven successful parastomal embolizations, there were three cases of recurrent bleeding; the median time to rebleeding was 45 days (range 26-313 days). The remaining four patients did not develop recurrent bleeding during the follow-up period; their median bleeding-free interval was 131 days (range 40-659 days). CONCLUSION: This case review demonstrated that percutaneous parastomal embolization is a feasible technique to treat bleeding peristomal varices.

Full Text

Duke Authors

Cited Authors

  • Pabon-Ramos, WM; Niemeyer, MM; Dasika, NL

Published Date

  • October 2013

Published In

Volume / Issue

  • 36 / 5

Start / End Page

  • 1399 - 1404

PubMed ID

  • 23483282

Electronic International Standard Serial Number (EISSN)

  • 1432-086X

Digital Object Identifier (DOI)

  • 10.1007/s00270-013-0588-0

Language

  • eng

Conference Location

  • United States