{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:03:09Z","timestamp":1777726989584,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T00:00:00Z","timestamp":1516147200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Portal hypertension can lead to ectopic varices, which occur most frequently in the rectum. Rectal variceal bleeding in patients with portal hypertension is rare but can be life-threatening if not diagnosed and treated in a timely manner. However, no specific treatment guidelines have been established for rectal variceal bleeding. We herein report a case involving a woman with portal hypertension due to autoimmune liver disease who was successfully treated with a transjugular intrahepatic portosystemic stent shunt and variceal embolization. We recommend treatment of refractory ectopic variceal bleeding with a transjugular intrahepatic portosystemic stent shunt in combination with embolization.<\/jats:p>","DOI":"10.1177\/0300060517730720","type":"journal-article","created":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T04:06:31Z","timestamp":1516161991000},"page":"1666-1671","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Transjugular intrahepatic portosystemic stent shunt placement and embolization for hemorrhage associated with rupture of anorectal varices"],"prefix":"10.1177","volume":"46","author":[{"given":"Xiuyan","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,17]]},"reference":[{"key":"bibr1-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.03.1177"},{"key":"bibr2-0300060517730720","first-page":"756","volume":"79","author":"Goenka MK","year":"1984","journal-title":"Am J Gasteroenterol"},{"key":"bibr3-0300060517730720","first-page":"1226","volume":"21","author":"Ganguly S","year":"1995","journal-title":"Hepatology"},{"key":"bibr4-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1111\/j.1872-034X.2010.00690.x"},{"key":"bibr5-0300060517730720","first-page":"300","volume":"25","author":"Shanmao Nie","year":"2016","journal-title":"Journal of Regional Anatomy and Operative Surgery"},{"key":"bibr6-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1111\/hepr.12232"},{"key":"bibr7-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.03076.x"},{"key":"bibr8-0300060517730720","first-page":"1185","volume":"86","author":"Goenka MK","year":"1991","journal-title":"Am J Gastroenterol"},{"key":"bibr9-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800710236"},{"key":"bibr10-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(89)91724-8"},{"key":"bibr11-0300060517730720","first-page":"779","volume":"80","author":"Wang M","year":"1985","journal-title":"Am J Gastroenterol"},{"key":"bibr12-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(86)91132-7"},{"key":"bibr13-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-198506000-00004"},{"key":"bibr14-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-011-0685-5"},{"key":"bibr15-0300060517730720","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i8.2558"},{"key":"bibr16-0300060517730720","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2004.06.024"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060517730720","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060517730720","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060517730720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:20Z","timestamp":1777459700000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060517730720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,17]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1177\/0300060517730720"],"URL":"https:\/\/doi.org\/10.1177\/0300060517730720","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,17]]}}}