Ultrasound Guided Percutaneous Injection Sclerotherapy for Treatment of Bleeding Peristomal Varices

Purpose: Introduction: Bleeding peristomal varices (BPV) are a common problem in patients with enterostomies and portal hypertension, especially in patients with primary sclerosing cholangitis who have undergone a colectomy with creation of an ileostomy for ulcerative colitis. Multiple treatment modalities including endoscopic injection sclerotherapy of visible vessels, variceal ligation, and stomal revision have been described in the literature...