Endoscopy 2020; 52(S 01): S310
DOI: 10.1055/s-0040-1704994
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
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EFFECTIVENESS OF EUS GUIDED THROMBIN INJECTION FOR BLEEDING STOMAL VARICES

S Hussain
1   University Hospital North Midlands, Gastroenterology, Stoke on Trent, United Kingdom
,
R Desai
1   University Hospital North Midlands, Gastroenterology, Stoke on Trent, United Kingdom
,
R Sringeri
1   University Hospital North Midlands, Gastroenterology, Stoke on Trent, United Kingdom
,
S Hebbar
1   University Hospital North Midlands, Gastroenterology, Stoke on Trent, United Kingdom
› Institutsangaben
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Publikationsdatum:
23. April 2020 (online)

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    Stomal varices are uncommon, but can have a mortality of 40% on initial presentation. Currently, there are no established standard treatments for stomal varices bleeding.

    A 50 year old chronic liver disease patient who has had previous colectomy and ileostomy had presented with recurrent stomal bleeding. Patient was referred for transjugular intrahepatic shunt (TIPS). While waiting, patient had further significant bleeding. Linear EUS was passed through the stoma, and using 22 g needle, human thrombin reconstituted with 0.9% saline (2500 IU/5 mls), was injected. Complete obliteration of varices was noted with just 3 mls of thrombin. Varices remain obliterated at 4 weeks.


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