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Updated: May 14, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
[A case of anal variceal bleeding successfully treated with endoscopic injection sclerotherapy]
Tadashi Doi1, Toshinori Okuda, Shinya Minami
1Department of Gastroenterology and Hepatology, Oji General Hospital, Japan. t-doi@ojihosp.or.jp
Abstract:
We report a case of anal variceal bleeding successfully treated with endoscopic injection sclerotherapy (EIS). A 64-year-old man with alcoholic liver cirrhosis was hospitalized because of repeated anal bleeding. Colonoscopy revealed external anal varices connecting with rectal varices. Three days after admission, external anal variceal bleeding was observed. Angiography revealed that the anorectal varices formed by hepatofugal inferior mesenteric vein drained into the internal iliac vein. On angiography, the variceal blood flow rate was extremely low, therefore we performed EIS. Seven days after therapy, thrombosis of anorectal varices was observed.
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