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Garbuzenko DV. Letter to the Editor: Current approaches to the management of colonic variceal bleeding. World J Gastroenterol 2026; 32(39): 123238 [DOI: 10.3748/wjg.123238]
World J Gastroenterol. Oct 21, 2026; 32(39): 123238 Published online Oct 21, 2026. doi: 10.3748/wjg.123238
Letter to the Editor: Current approaches to the management of colonic variceal bleeding
Dmitry V Garbuzenko
Dmitry V Garbuzenko, Department of Faculty Surgery, South Ural State Medical University, Chelyabinsk 454092, Russia
Author contributions: Garbuzenko DV contributed to the conception, design, acquisition, analysis, interpretation of data, wrote the manuscript and approved the final version.
AI contribution statement: No AI tool were used in the preparation of the manuscript.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Corresponding author: Dmitry V Garbuzenko, MD, PhD, Professor, Department of Faculty Surgery, South Ural State Medical University, 64 Vorovskogo Street, Chelyabinsk 454092, Russia. garb@inbox.ru
Received: May 12, 2026 Revised: June 5, 2026 Accepted: July 8, 2026 Published online: October 21, 2026 Processing time: 121 Days and 5.9 Hours
Abstract
In a case report published in the World Journal of Gastroenterology, Tomita et al presented a patient without liver cirrhosis and portal hypertension with recurrent colonic variceal bleeding at the site of transverse colon anastomosis who was successfully treated by percutaneous transhepatic embolization using ethanolamine oleate and N-butyl-2-cyanoacrylate. Colonic varices are a very rare cause of lower gastrointestinal bleeding. Various methods including pharmacotherapy, endoscopic modalities, interventional radiology procedures, and partial colectomy have been described as treatment options for colonic variceal bleeding. Nevertheless, the optimal approach has not yet been established due to the lack of randomized controlled trials involving a large cohort of patients necessary for its development.
Core Tip: Various methods including pharmacotherapy, endoscopic modalities, interventional radiology procedures, and partial colectomy have been described as treatment options for colonic variceal bleeding. Nevertheless, the optimal approach has not yet been established, due to the lack of randomized controlled trials involving a large cohort of patients necessary for its development.
