Ackerman N B, Graeber G M, Fey J
Arch Surg. 1980 Dec;115(12):1454-5. doi: 10.1001/archsurg.1980.01380120028007.
A follow-up of patients with portal hypertension who were bleeding from enterostomal varices in ileostomies or colostomies demonstrated the progression of disease and poor prognosis. Repeated episodes of hemorrhage became more frequent, liver function deteriorated, and death from hepatic failure finally occurred. The hemorrhagic episodes seemed to contribute to the deterioration of the patients' conditions. Portasystemic shunting to eliminate enterostomal bleeding should be considered for the patient who is an acceptable operative risk. If major surgery is contraindicated, local hemostatic measures offer, temporarily, palliative alleviation of bleeding, but the ultimate prognosis is grave.
对因回肠造口术或结肠造口术的肠造口静脉曲张出血的门静脉高压患者进行随访，结果显示疾病进展且预后不良。反复出血发作变得更加频繁，肝功能恶化，最终因肝衰竭死亡。出血发作似乎促使患者病情恶化。对于手术风险可接受的患者，应考虑进行门体分流以消除肠造口出血。如果禁忌进行大手术，局部止血措施可暂时缓解出血，但最终预后严重。
