A K Kaul1, P G Skaife. 1. Department of Surgery, University Hospital Aintree, Liverpool, UK. aniltina@yahoo.com
Abstract
OBJECTIVE: The objective of this study was to demonstrate that stapled disruption of rectal varices is a feasible and suitable method of controlling bleeding varices. METHOD: Patients known to have bleeding rectal varices secondary to liver failure were offered this procedure. All these patients had failed medical and endoscopic management. All nine patients underwent the procedure as an emergency, with the intention of controlling haemorrhage. The procedure was carried out under general anaesthetic by a colorectal surgeon experienced in using the stapled device for haemorrhoidectomy. RESULTS: Nine patients underwent this procedure, with successful control of bleeding achieved in all. Follow-up period from 4 to 24 months revealed no further re-bleeding. CONCLUSION: We conclude that stapled disruption of bleeding rectal varices in patients with known portal hypertension is a very useful and effective procedure when carried out by an experienced colorectal surgeon.
OBJECTIVE: The objective of this study was to demonstrate that stapled disruption of rectal varices is a feasible and suitable method of controlling bleeding varices. METHOD:Patients known to have bleeding rectal varices secondary to liver failure were offered this procedure. All these patients had failed medical and endoscopic management. All nine patients underwent the procedure as an emergency, with the intention of controlling haemorrhage. The procedure was carried out under general anaesthetic by a colorectal surgeon experienced in using the stapled device for haemorrhoidectomy. RESULTS: Nine patients underwent this procedure, with successful control of bleeding achieved in all. Follow-up period from 4 to 24 months revealed no further re-bleeding. CONCLUSION: We conclude that stapled disruption of bleeding rectal varices in patients with known portal hypertension is a very useful and effective procedure when carried out by an experienced colorectal surgeon.
Authors: Amir Ata Rhanemai-Azar; Maharshi Rajdev; Mayada Ismail; Eric Dean McLoney; Sidhartha Tavri; Mohammed S Al-Natour Journal: Abdom Radiol (NY) Date: 2020-09-17
Authors: Antonio Tarasconi; Gennaro Perrone; Justin Davies; Raul Coimbra; Ernest Moore; Francesco Azzaroli; Hariscine Abongwa; Belinda De Simone; Gaetano Gallo; Giorgio Rossi; Fikri Abu-Zidan; Vanni Agnoletti; Gianluigi de'Angelis; Nicola de'Angelis; Luca Ansaloni; Gian Luca Baiocchi; Paolo Carcoforo; Marco Ceresoli; Alain Chichom-Mefire; Salomone Di Saverio; Federica Gaiani; Mario Giuffrida; Andreas Hecker; Kenji Inaba; Michael Kelly; Andrew Kirkpatrick; Yoram Kluger; Ari Leppäniemi; Andrey Litvin; Carlos Ordoñez; Vittoria Pattonieri; Andrew Peitzman; Manos Pikoulis; Boris Sakakushev; Massimo Sartelli; Vishal Shelat; Edward Tan; Mario Testini; George Velmahos; Imtiaz Wani; Dieter Weber; Walter Biffl; Federico Coccolini; Fausto Catena Journal: World J Emerg Surg Date: 2021-09-16 Impact factor: 5.469