Korean J Gastrointest Endosc.  2004 Feb;28(2):97-101.

A Case of Lower GI Bleeding from Portal Hypertensive Colopathy Successfully Treated with Octreotide Administration and Endoscopic Hemoclipping

• Ko JS
• Kim JS
• Noh CH
• Kim DY
• Park JH
• Cho YS
• Kim SS
• Chae HS
• Ahn BM
• Lee CD
• Choi KY
• Chung IS
• Sun HS

Abstract

Cirrhotic patients with portal hypertension are often found to have changes in their colonic mucosa. Such mucosal changes are termed portal hypertensive colopathy. Most patients with portal hypertension remained asymptomatic but some may show massive bleeding. The mainstay of treatment for portal hypertensive gastropathy include non-surgical methods such as octreotide injection, endoscopic hemostasis, and interventional methods such as TIPS. However, treatment for portal hypertensive colopathy remained unresolved. The authors here report a case of a 41 year old male with liver cirrhosis admitted for fever and abdominal pain, who reported an episode of hematochezia in the course of admisssion period. Subsequent colonoscopy revealed angiodysplasia-like lesions throughout the entire colon. We observed that such lesions were the source of hematochezia and that direct clipping with octreotide injection was successful in controlling the bleeding.

Keyword

Portal hypertensive colopathy; Liver cirrhosis; Octreotide; Hemoclip

MeSH Terms

Abdominal Pain
Adult
Colon
Colonoscopy
Fever
Gastrointestinal Hemorrhage
Hemorrhage*
Hemostasis, Endoscopic
Humans
Hypertension, Portal
Liver Cirrhosis
Male
Mucous Membrane
Octreotide*
Octreotide