TY - JOUR T1 - Halting the haematochezia JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 232 LP - 234 DO - 10.1136/flgastro-2020-101495 VL - 12 IS - 3 AU - Meera Mistry AU - Joseph Fiske AU - Tehreem Chaudhry AU - Timothy J Cross AU - Shemin Mehta AU - Khaled Ballal AU - Previn Diwakar AU - James Chambers AU - Philip J Smith Y1 - 2021/05/01 UR - http://fg.bmj.com/content/12/3/232.abstract N2 - An elderly gentleman with primary sclerosing cholangitis (PSC) was admitted with rectal bleeding, shown on flexible sigmoidoscopy to be arising from rectal varices, which bled despite endoscopic therapy with histoacryl glue. Therapeutic options were limited with surgery and transjugular intrahepatic portosystemic shunt deemed too high risk, and endovascular embolisation through interventional radiology was sought. Coil-assisted retrograde transvenous obliteration was used to good effect. This rare approach has advantages over balloon occlusion, avoiding long indwelling balloon time and risk of rupture or infection, as well as time efficiency. ER -