Anastomotic colonic varices after colectomy treated by obliteration via a transhepatic portal approach: A case report

doi:10.3748/wjg.v32.i18.118499

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May 14, 2026 (publication date) through May 6, 2026

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World Journal of Gastroenterology

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1007-9327

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Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. May 14, 2026; 32(18): 118499
Published online May 14, 2026. doi: 10.3748/wjg.v32.i18.118499

Table 1 Clinical course of recurrent bleeding episodes and management

Episode (timing after colectomy)	1^st (30 months)	2^nd (35 months)	3^rd (38 months)
Blood pressure (mmHg)	137/78	147/94	116/82
Heart rate (beats/minute)	72	66	93
Shock index (HR/SBP)	0.53	0.45	0.80
Hemoglobin (g/dL)	13.3	14.1	7.5
Hematocrit (%)	40.9	41.5	23.7
Iron therapy	Intravenous iron during hospitalization	None	Intravenous iron between admission and IR
Anticoagulant/antiplatelet therapy	None	None	None
Transfusion	None	None	RBC 4 units 4 days before IR; RBC 2 units after IR
Management	Endoscopic clipping	Endoscopic clipping	Endoscopic clipping and IR
Length of hospital stay	5 days	7 days	22 days
Outcome	Temporary control	Temporary control	No recurrent bleeding after IR; objective follow-up negative

HR: Heart rate; IR: Interventional radiology; RBC: Red blood cell; SBP: Systolic blood pressure.

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Citation: Tomita D, Yamamoto M, Wakamatsu M, Shibayama R, Maeda Y, Hiramatsu K, Hanaoka Y, Toda S, Ueno M, Matoba S, Kuroyanagi H. Anastomotic colonic varices after colectomy treated by obliteration via a transhepatic portal approach: A case report. World J Gastroenterol 2026; 32(18): 118499
URL: https://www.wjgnet.com/1007-9327/full/v32/i18/118499.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i18.118499

Tomita D, Yamamoto M, Wakamatsu M, Shibayama R, Maeda Y, Hiramatsu K, Hanaoka Y, Toda S, Ueno M, Matoba S, Kuroyanagi H. Anastomotic colonic varices after colectomy treated by obliteration via a transhepatic portal approach: A case report. World J Gastroenterol 2026; 32(18): 118499 [DOI: 10.3748/wjg.v32.i18.118499]

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