BPG is committed to discovery and dissemination of knowledge
Editorial
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jun 28, 2015; 7(12): 1601-1605
Published online Jun 28, 2015. doi: 10.4254/wjh.v7.i12.1601
Treatment of ectopic varices with portal hypertension
Takahiro Sato
Takahiro Sato, Department of Gastroenterology, Sapporo Kosei General Hospital, Sapporo 060-0033, Japan
Author contributions: Sato T solely contributed to this paper.
Conflict-of-interest: The author declared no conflicts of interest.
Correspondence to: Takahiro Sato, MD, Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, Sapporo 060-0033, Japan. taka.sato@ja-hokkaidoukouseiren.or.jp
Telephone: +81-11-2615331 Fax: +81-11-2616040
Received: January 16, 2015
Peer-review started: January 18, 2015
First decision: February 7, 2015
Revised: March 20, 2015
Accepted: April 10, 2015
Article in press: April 14, 2015
Published online: June 28, 2015
Processing time: 164 Days and 4.5 Hours
Abstract

Ectopic varices are unusual with portal hypertension and can involve any site along the digestive tract outside the gastroesophageal region. Hemorrhage from ectopic varices generally are massive and life threatening. Diagnosis of ectopic varices is difficult and subsequent treatment is also difficult; the optimal treatment has not been established. Recently, interventional radiology and endoscopic treatments have been carried out successfully for hemorrhage from ectopic varices.

Keywords: Portal hypertension; Endoscopic injection sclerotherapy; Balloon-occluded retrograde transvenous obliteration; Ectopic varices; Endoscopic band ligation; Percutaneous transhepatic obliteration; Transjugular intrahepatic portosystemic shunts

Core tip: Ectopic varices with portal hypertension are considered to be the cause of hemorrhage presenting as lower gastrointestinal bleeding. Recently, interventional radiology and endoscopic procedures have been performed successfully as a treatment option for ectopic varices.