Editorial
Copyright ©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.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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
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.