Tags

Type your tag names separated by a space and hit enter

Jejunal varices as a cause of massive gastrointestinal bleeding.
Am J Gastroenterol. 1992 Apr; 87(4):514-7.AJ

Abstract

Jejunal varices are not a common manifestation of portal hypertension. This report describes a 46-yr-old man with recurrent massive gastrointestinal bleeding from jejunal varices arising in an area of adhesions between the intestine and the omentum. The bleeding site was identified by exploratory laparotomy. Medical therapy, including vasopressin infusion via the superior mesenteric artery, was of limited success for controlling acute variceal bleeding. However, jejunal resection and anastomosis resulted in complete resolution of the bleeding, and the patient has experienced no recurrent bleeding over a 3-yr follow-up period. A review of the literature shows that this syndrome is characterized by portal hypertension, generally due to liver cirrhosis; frequently, there is a history of abdominal surgery, and the syndrome presents with hematochezia but without hematemesis. Accurate preoperative diagnosis is often difficult. We propose that bleeding from jejunal varices, though uncommon, should be considered under such clinical conditions.

Authors+Show Affiliations

Department of Internal Medicine, Osaka Police Hospital, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

1553940

Citation

Yuki, N, et al. "Jejunal Varices as a Cause of Massive Gastrointestinal Bleeding." The American Journal of Gastroenterology, vol. 87, no. 4, 1992, pp. 514-7.
Yuki N, Kubo M, Noro Y, et al. Jejunal varices as a cause of massive gastrointestinal bleeding. Am J Gastroenterol. 1992;87(4):514-7.
Yuki, N., Kubo, M., Noro, Y., Kasahara, A., Hayashi, N., Fusamoto, H., Ito, T., & Kamada, T. (1992). Jejunal varices as a cause of massive gastrointestinal bleeding. The American Journal of Gastroenterology, 87(4), 514-7.
Yuki N, et al. Jejunal Varices as a Cause of Massive Gastrointestinal Bleeding. Am J Gastroenterol. 1992;87(4):514-7. PubMed PMID: 1553940.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Jejunal varices as a cause of massive gastrointestinal bleeding. AU - Yuki,N, AU - Kubo,M, AU - Noro,Y, AU - Kasahara,A, AU - Hayashi,N, AU - Fusamoto,H, AU - Ito,T, AU - Kamada,T, PY - 1992/4/1/pubmed PY - 1992/4/1/medline PY - 1992/4/1/entrez SP - 514 EP - 7 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 87 IS - 4 N2 - Jejunal varices are not a common manifestation of portal hypertension. This report describes a 46-yr-old man with recurrent massive gastrointestinal bleeding from jejunal varices arising in an area of adhesions between the intestine and the omentum. The bleeding site was identified by exploratory laparotomy. Medical therapy, including vasopressin infusion via the superior mesenteric artery, was of limited success for controlling acute variceal bleeding. However, jejunal resection and anastomosis resulted in complete resolution of the bleeding, and the patient has experienced no recurrent bleeding over a 3-yr follow-up period. A review of the literature shows that this syndrome is characterized by portal hypertension, generally due to liver cirrhosis; frequently, there is a history of abdominal surgery, and the syndrome presents with hematochezia but without hematemesis. Accurate preoperative diagnosis is often difficult. We propose that bleeding from jejunal varices, though uncommon, should be considered under such clinical conditions. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/1553940/Jejunal_varices_as_a_cause_of_massive_gastrointestinal_bleeding_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -