Endoscopic Sclerotherapy for Bleeding Rectal Varices: A Case Report

Wang, Michael; Desigan, Gnana; Dunn, Dewey
October 1985
American Journal of Gastroenterology;Oct1985, Vol. 80 Issue 10, p779
Academic Journal
Rectal varices are not hemorrhoids and they are dilated submucosal veins connecting the middle and inferior hemorrhoidal veins. These rectal varices may occur in patients with portal hypertension because of the formation of portosystemic shunts. Like esophageal varices, the rectal varices may also bleed massively. Herein we report a case of such bleeding which was successfully controlled with endoscopic sclerotherapy to the rectal varices.


Related Articles

  • Complications of Endoscopic Injection Sclerotherapy: A Review. Schuman, Bernard M.; Beckman, John W.; Tedesco, Francis J.; Griffin Jr., Joseph W.; Assad, Ramzi T. // American Journal of Gastroenterology;Sep1987, Vol. 82 Issue 9, p823 

    As endoscopic injection sclerotherapy becomes more widely applied to the treatment of bleeding esophageal varices, an increasing number of complications are being reported. Dysphagia, chest pain, and fever are usually transient and inconsequential but may herald more serious life-threatening...

  • Beta-Blockers to Prevent Esophageal Varices – An Unfulfilled Promise. Mukherjee, Sandeep; Sorrell, Michael F. // New England Journal of Medicine;11/24/2005, Vol. 353 Issue 21, p2288 

    The article focuses on the authors' views on the treatment of patients with esophageal variceal bleeding. The authors' say variceal bleeding is considered as the biggest complication of portal hypertension in patients with cirrhosis and is seen as a major cause of death. He refers to its...

  • SELF ASSESSMENT ANSWERS: Rectal bleeding in a patient with portal hypertension.  // Postgraduate Medical Journal;Oct2001, Vol. 77 Issue 912, p677 

    This article presents several questions and answers related to rectal bleeding in a patient with portal hypertension. The prevalence of rectal varices in the patients with portal hypertension is quite high. Conservative management may be all that is needed in mild cases and the bleeding may be...

  • sclerotherapy. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p677 

    An encyclopedia entry for "sclerotherapy" is presented. It refers to a procedure performed in order to treat varicose veins, particularly those affecting the legs, haemorrhoids and oesophageal varices. During the procedure, an irritant solution is injected into the affected vein that will be...

  • Severe bleeding from esophageal varices resistant to endoscopic treatment in a non cirrhotic patient with portal hypertension. Roberto Caronna; Mario Bezzi; Monica Schiratti; Maurizio Cardi; Giampaolo Prezioso; Michele Benedetti; Federica Papini; Simona Mangioni; Gabriele Martino; Piero Chirletti // World Journal of Emergency Surgery;2008, Vol. 3, Special section p1 

    A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography confirmed the thrombosed right branch of the portal vein, while the left branch...

  • Gross and Microscopic Findings in the Human Esophagus after Esophageal Variceal Band Ligation: A Postmortem Analysis. Marks, Robert D.; Arnold, Muoi D.; Baron, Todd H. // American Journal of Gastroenterology;Feb1993, Vol. 88 Issue 2, p272 

    Endoscopic sclerotherapy has been the therapy of choice for controlling acute variceal hemorrhage. Recently, endoscopic band ligation has been utilized for the management of esophageal varices with fewer complications and greater efficacy. We report the pathologic findings in the human esophagus...

  • Endoscopic Sclerotherapy. Galambos, John T. // Annals of Internal Medicine;Jun83, Vol. 98 Issue 6, p1009 

    Editorial. Discusses the use of endoscopic sclerotherapy for the treatment or prevention of esophageal varices. Technical aspects of endoscopic sclerotherapy which may affect outcome; Role of prophylactic endoscopic sclerotheraphy; Effectiveness and side effects of endoscopic sclerotherapy.

  • Thromboembolic and septic complications of migrated cyanoacrylate injected for bleeding gastric varices. Hamad, N.; Stephens, J.; Maskell, G. F.; Hussaini, S. H.; Dalton, H. R. // British Journal of Radiology;Nov2008, Vol. 81 Issue 971, pe263 

    Endoscopic injection of N-butyl-2-cyanoacrylate combined with radio-opaque lipiodol is widely used to achieve haemostasis in bleeding gastric varices. We present a case of migration of injected cyanoacrylate, thrombus formation and subsequent septic embolisation.

  • Endoscopic Sclerotherapy for Bleeding Oesophageal Varices: Experience in Gezira State, Sudan. Mohammed, Moawia Elbalal // Clinical Medicine Insights: Gastroenterology;2011, Vol. 2, p15 

    Introduction: Bleeding due to oesophageal varices is the most common cause of upper gastrointestinal tract haemorrhage in Gezira State, Central Sudan. Endoscopic injection sclerotherapy (EST) is a valuable therapeutic modality for the management of variceal bleeding. Other options for treatment...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics