Sclerotherapy for massive enterostomy bleeding resulting from portal hypertension

Abstract

Three patients with frequent and massive hemorrhage from enterostomy (colostomy 2, ileostomy 1) due to portal hypertension are reported. The hemorrhages were treated with sclerotherapy by submucous injections of polidocanol (Ethoxysclerol) or phenol (5 percent) almond oil. In one patient, a complete and long-term stoppage of the bleeding was achieved. In the second patient, a marked reduction in the amount of blood loss and an increase in the time between bleeding episodes occurred. In the third patient, only a short-lived effect of a few weeks was reached.