Rupture of rectal varices treated with endoscopic variceal ligation

Manabu Shiraki, Sho Takagi, Kouichi Sugiyama, Takao Iwasaki, Hiroyuki Aihara, Seiichi Takahashi, Yoshitaka Kinouchi, Nobuo Hiwatashi, Tooru Shimosegawa

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


We report here 3 cases of rectal varices treated with endoscopic variceal ligation and discuss the pathogenesis, treatment, and prognosis of rectal varices with referring to previous reports. Of the 3 patients, 2 had been diagnosed as liver cirrhosis and 1 as extrahepatic portal hypertension. All of the 3 patients had previously undergone treatment of esophagogastric varices. The rupture of rectal varices appeared to have some relationship with the treatment of esophageal varices. In previous reports, 73% of patients with ruptured rectal varices treated with endoscopic injection sclerotherapy or endoscopic variceal ligation had undergone treatments of esophageal varices. The endoscopic treatments resulted in a favorable prognosis in 2 patients. Although no fatality from endoscopic injection sclero-therapy or endoscopic variceal ligation has been reported, 1 of the present 3 cases died of liver failure.

Original languageEnglish
Pages (from-to)295-299
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number5
Publication statusPublished - 2004 Oct


  • Endoscopic variceal ligation
  • Portal hypertension
  • Rectal varices


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