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Related Experiment Videos

Bleeding anorectal varices--a misunderstood condition.

S W Hosking1, A G Johnson

  • 1University Surgical Unit, Royal Hallamshire Hospital, Sheffield, England.

Surgery
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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This study details managing bleeding anorectal varices using under-running sutures, achieving initial bleeding control in all patients. While effective, some rebleeding episodes occurred during follow-up.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Anorectal varices are a rare cause of lower gastrointestinal bleeding.
  • Effective management strategies require clear diagnostic and treatment protocols.

Purpose of the Study:

  • To describe the management of bleeding anorectal varices.
  • To compare current patient outcomes with existing literature.
  • To establish preferred terminology for these vascular anomalies.

Main Methods:

  • Retrospective review of 13 patients with bleeding anorectal varices.
  • Anorectoscopy as the primary diagnostic tool.
  • Treatment with under-running suture ligation.

Main Results:

  • Primary hemostasis achieved in all 13 patients via suture ligation.

Related Experiment Videos

  • Median follow-up of 7 months (range, 1-36 months).
  • Two early and one late rebleeding episode observed post-treatment.

    • Conclusions:

    • Under-running suture ligation is an effective method for controlling bleeding anorectal varices.
    • Anorectoscopy is the diagnostic procedure of choice.
    • The term "anorectal varices" is recommended due to typical location in the anal canal.