Goldstein M B, Brandt L J, Bernstein L H, Sprayragen S
Am J Gastroenterol. 1983 Jun;78(6):351-4.
A 60-year-old woman presented with recurrent ileostomal hemorrhage 29 years after proctocolectomy for ulcerative colitis. Ileal varices were demonstrated by selective mesenteric angiography, and a portasystemic shunt was performed with control of the bleeding. Stomal varices typically present with repeated episodes of bleeding at and proximal to the mucocutaneous junction of the ileal stoma and attempts at local corrective measures generally meet with only temporary success. A portasystemic shunt to diminish portal hypertension in this situation is currently the most widely accepted therapy for this entity.
一名60岁女性在因溃疡性结肠炎接受直肠结肠切除术后29年，出现反复回肠造口出血。选择性肠系膜血管造影显示存在回肠静脉曲张，遂行门体分流术并控制了出血。造口静脉曲张通常表现为回肠造口黏膜皮肤交界处及其近端反复出血，局部纠正措施往往仅取得暂时成功。在这种情况下，通过门体分流术降低门静脉高压是目前该病症最广泛接受的治疗方法。
