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Titolo:
Recurrent haemorrhage from peristomal varices after Bricker diversion: case report and review of the literature.
Autore:
Soret, R; Goullet, E; Bonnal, JL; Dharancy, S; Paris, JC; Mauroy, B;
Indirizzi:
CHU Lille, Serv Malad Digest, F-59037 Lille, France CHU Lille Lille France F-59037 Serv Malad Digest, F-59037 Lille, France CHU Lille, Serv Urol, F-59037 Lille, France CHU Lille Lille France F-59037 U Lille, Serv Urol, F-59037 Lille, France
Titolo Testata:
PROGRES EN UROLOGIE
fascicolo: 2, volume: 11, anno: 2001,
pagine: 310 - 313
SICI:
1166-7087(200104)11:2<310:RHFPVA>2.0.ZU;2-N
Fonte:
ISI
Lingua:
FRE
Soggetto:
STOMAL VARICES; EMBOLIZATION; MANAGEMENT; SHUNT;
Keywords:
ileal varices; portal hypertension; transileal cutaneous ureterostomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Mauroy, B Hop Victor Provo, Serv Univ Urol, Blvd Lacordaire,BP 359, F-59056 Roubaix 1, France Hop Victor Provo Blvd Lacordaire,BP 359 Roubaix France1 France
Citazione:
R. Soret et al., "Recurrent haemorrhage from peristomal varices after Bricker diversion: case report and review of the literature.", PROG UROL, 11(2), 2001, pp. 310-313

Abstract

Peristomal varices can occur in patients with gastrointestinal or urinary diversions associated with portal hypertension. It is now no longer rare topropose radical surgery for invasive bladder tumours in patients also suffering from hepatic cirrhosis. responsible for specific subsequent complications. Less than ten cases of varicose haemorrhages have been described on ileal bladders. The authors report the case of a patient,with cirrhosis (Child B) treated surgically (radical cystoprostatectomy and Bricker transilealcutaneous diversion) for invasive bladder tumour Episodes of bleeding varices occurred two months after surgery Repeated and abundant haemorrhage ledto the placement of an intrahepatic shunt (TIPS) allowing reduction of theportal hypertension and the severity of the bleeding. When local control of the bleeding is no longer possible. reduction of the portosystemic pressure gradient is required. TIPS is an effective alternative to surgical shunts, responsible for high morbidity and mortality in these debilitated patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 17:29:11