Godil A, McCracken J D
Department of Medicine, Loma Linda University Medical Center, California 92354, USA.
J Clin Gastroenterol. 1997 Sep;25(2):460-2. doi: 10.1097/00004836-199709000-00014.
Bleeding from anorectal varices can be massive and life threatening. Prompt differentiation between hemorrhoids and anorectal varices is crucial in treating these patients. Many different treatments are available for bleeding anorectal varices, but none has proved efficacy. We report a case of successful transjugular intrahepatic portosystemic shunt (TIPS) in controlling massive rectal variceal bleeding in an elderly patient with primary biliary cirrhosis and portal hypertension. After TIPS, rapid decompensation of liver function and encephalopathy developed and led to her death. Although TIPS may be effective in controlling acute life-threatening bleeding from anorectal varices, it can be associated with life-threatening complications.
肛门直肠静脉曲张出血可能大量且危及生命。在治疗这些患者时，迅速区分痔疮和肛门直肠静脉曲张至关重要。对于出血性肛门直肠静脉曲张有多种不同的治疗方法，但尚无一种被证明有效。我们报告一例成功行经颈静脉肝内门体分流术（TIPS）控制一名原发性胆汁性肝硬化和门静脉高压老年患者大量直肠静脉曲张出血的病例。TIPS术后，患者出现肝功能迅速失代偿和肝性脑病并导致死亡。尽管TIPS可能有效控制肛门直肠静脉曲张引起的急性危及生命的出血，但它可能伴有危及生命的并发症。
