Abstract
Stomal varices can develop secondary to portal hypertension in patients with a stoma. The bleeding is often recurrent and may be fatal with mortality rates of 3–4% (1). Treatment options include 1) direct pressure or ligation (1), 2) direct percutaneous embolization of the feeding portal branch using a coil or of the varix using glue (2, 3), 3) systemic therapy with vasoactive drugs (4), 4) surgical management (1, 5), 5) transjugular intrahepatic portosystemic shunt (TIPS) or balloon occluded retrograde transvenous obliteration (BRTO) (6, 7). We present a patient with recurrent bleeding from a stomal varix that was controlled with BRTO using sodium tetradecyl sulfate (STS) (Omega Laboratories Ltd., Quebec, ONT, Canada) foam.
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