Related Experiment Video

Updated: Jul 3, 2026

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
02:14

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices

Published on: August 1, 2025

Circumferential stapled procedure for bleeding ano-rectal varices is an effective treatment--experience in nine

A K Kaul1, P G Skaife

  • 1Department of Surgery, University Hospital Aintree, Liverpool, UK. aniltina@yahoo.com

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|July 16, 2008
PubMed

Insights

Stapled disruption effectively controls bleeding rectal varices in patients with portal hypertension. This minimally invasive procedure offers a successful solution for hemorrhage when other treatments fail.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal varices, often stemming from liver failure and portal hypertension, present a significant bleeding risk.
  • Conventional medical and endoscopic treatments frequently prove insufficient for managing hemorrhage from rectal varices.

Purpose of the Study:

  • To establish the feasibility and suitability of stapled disruption for controlling bleeding rectal varices.
  • To evaluate the efficacy of this surgical approach in patients refractory to other therapies.

Main Methods:

  • Nine patients with bleeding rectal varices secondary to liver failure underwent emergency stapled disruption.
  • The procedure was performed under general anesthesia by a colorectal surgeon experienced with stapling devices.

Main Results:

  • Hemorrhage control was successfully achieved in all nine patients undergoing the stapled disruption.
  • Follow-up ranging from 4 to 24 months indicated no instances of re-bleeding, demonstrating sustained efficacy.

Conclusions:

  • Stapled disruption is a highly effective and useful method for managing bleeding rectal varices in patients with portal hypertension.
  • The procedure's success is attributed to its efficacy when performed by experienced colorectal surgeons.
Abstract

More Related Videos

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices04:09

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Published on: June 13, 2025

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...