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January 1988

Adhesion-Related Variceal Hemorrhage Following Sclerosis of Esophageal Varices

Author Affiliations

From the Departments of Surgery (Dr Fry), Radiology (Drs Fischer and Susman), and Medicine (Drs Shatz and Hulbert), the Jewish Hospitals of St Louis, Washington University Medical Center.

Arch Surg. 1988;123(1):94-95. doi:10.1001/archsurg.1988.01400250104019

• A 78-year-old woman with portal hypertension had recurrent episodes of lower gastrointestinal hemorrhage two months after bleeding esophageal varices had been successfully treated with endoscopic injection sclerosis. Labeled red blood cell scans and mesenteric angiographic examination allowed a preoperative diagnosis of adhesion-related varices as the cause of bleeding. The problem was successfully treated by dividing the adhesion and resecting the involved small intestine.

(Arch Surg 1988;123:94-95)

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