Bleeding colonic varices controlled by propranolol.
A 64-year-old man with hepatic cirrhosis developed severe haemorrhage from oesophageal varices. He underwent a course of sclerotherapy injections which successfully obliterated the oesophageal varices and prevented further oesophageal bleeding. He later developed serious bleeding from a site in the region of the ascending colon; angiography and radionuclide imaging suggested that varices were present in that region. Therapy with oral propranolol was effective in preventing any recurrence of gastrointestinal bleeding.
McAlpine
L G
LG
Department of Medicine, Western Infirmary, Glasgow.
Birnie
G G
GG
Hilditch
T E
TE
Dagg
J H
JH
D003108:Colonic Diseases / Q000188:drug therapy / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000188:drug therapy; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D011433:Propranolol / Q000627:therapeutic use*
D011433:Propranolol