Skip to main content
Top
Published in: Clinical Journal of Gastroenterology 2/2008

01-06-2008 | Case Report

Transverse colonic varices successfully treated with endoscopic procedure

Authors: Takahiro Sato, Katsu Yamazaki, Jun Akaike, Jouji Toyota, Yoshiyasu Karino, Takumi Ohmura, Hitoshi Nishioka

Published in: Clinical Journal of Gastroenterology | Issue 2/2008

Login to get access

Abstract

A 75-year-old woman with hepatitis C virus antibody-positive liver cirrhosis was admitted to our hospital with anal bleeding. Colonoscopy revealed red color-positive tortuous transverse colonic varices near the splenic flexure. Colonic varices were considered to be the most probable cause of bleeding, although the precise site could not be determined. Endoscopic injection sclerotherapy was performed for colonic varices. Endoscopic clipping was performed for bilateral sites of varices as an additional treatment. Four months after endoscopic treatments, colonoscopy revealed ulcer scars in the transverse colon and shrinkage of the varices.
Literature
1.
go back to reference Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, hemorrhoids, and portal hypertension. Lancet. 1989;18:349–52.CrossRef Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, hemorrhoids, and portal hypertension. Lancet. 1989;18:349–52.CrossRef
2.
go back to reference Wang TF, Lee FY, Tsai YT, Lee SD, Wang SS, Hsia HC et al. Relationship of portal pressure, anorectal varices, and hemorrhoids in cirrhotic patients. J Hepatol. 1992;15:170–3.CrossRefPubMed Wang TF, Lee FY, Tsai YT, Lee SD, Wang SS, Hsia HC et al. Relationship of portal pressure, anorectal varices, and hemorrhoids in cirrhotic patients. J Hepatol. 1992;15:170–3.CrossRefPubMed
4.
go back to reference The Veterans Affairs Cooperative Variceal Sclerotherapy Group. Prophylactic sclerotherapy for esophageal varices in men with alcoholic liver disease. N Engl J Med. 1991;324:1779–84.CrossRef The Veterans Affairs Cooperative Variceal Sclerotherapy Group. Prophylactic sclerotherapy for esophageal varices in men with alcoholic liver disease. N Engl J Med. 1991;324:1779–84.CrossRef
6.
go back to reference Goff GV, Reveille RM, Stiegmann GV. Endoscopic sclerotherapy versus endoscopic variceal ligation: esophageal symptoms, complications and motility. Am J Gastroenterol. 1988;83:1240–4.PubMed Goff GV, Reveille RM, Stiegmann GV. Endoscopic sclerotherapy versus endoscopic variceal ligation: esophageal symptoms, complications and motility. Am J Gastroenterol. 1988;83:1240–4.PubMed
7.
go back to reference Waxman JS, Tarkin N, Pradyuman D, Waxman M. Fatal hemorrhage from rectal varices: report of two cases. Dis Colon Rectum. 1984;27:749–50.CrossRefPubMed Waxman JS, Tarkin N, Pradyuman D, Waxman M. Fatal hemorrhage from rectal varices: report of two cases. Dis Colon Rectum. 1984;27:749–50.CrossRefPubMed
8.
go back to reference Geboes K, Broeckaert L, Vantrappen G. Varices of the colon: diagnosis by colonoscopy. Gastrointest Endosc. 1975;22(1):43–5.CrossRefPubMed Geboes K, Broeckaert L, Vantrappen G. Varices of the colon: diagnosis by colonoscopy. Gastrointest Endosc. 1975;22(1):43–5.CrossRefPubMed
9.
go back to reference Walsh G, Williams MP. Case report: giant pararectal varices-computed tomographic appearances. Br J Radiol. 1995;68:203–4.CrossRefPubMed Walsh G, Williams MP. Case report: giant pararectal varices-computed tomographic appearances. Br J Radiol. 1995;68:203–4.CrossRefPubMed
10.
go back to reference Hamlyn AN, Morris JS, Lunzer MR, Puritz H, Dick R. Portal hypertension with varices in unusual sites. Lancet. 1974;28:1531–4.CrossRef Hamlyn AN, Morris JS, Lunzer MR, Puritz H, Dick R. Portal hypertension with varices in unusual sites. Lancet. 1974;28:1531–4.CrossRef
11.
go back to reference Ganguly S, Sarin SK, Bhatia V, Lahoti D. The prevalence and spectrum of colonic lesions in patients with cirrhosis and non-cirrhotic portal hypertension. Hepatology. 1995;21:1226–31.PubMed Ganguly S, Sarin SK, Bhatia V, Lahoti D. The prevalence and spectrum of colonic lesions in patients with cirrhosis and non-cirrhotic portal hypertension. Hepatology. 1995;21:1226–31.PubMed
12.
go back to reference Goenka MK, Kochhar R, Nagi B, Mehta SK. Rectosigmoid varices and other mucosal changes in patients with portal hypertension. Am J Gastroenterol. 1991;86:1185–9.PubMed Goenka MK, Kochhar R, Nagi B, Mehta SK. Rectosigmoid varices and other mucosal changes in patients with portal hypertension. Am J Gastroenterol. 1991;86:1185–9.PubMed
13.
go back to reference Katz JA, Rubin RA, Cope C, Holland G, Brass CA. Recurrent bleeding from anorectal varices: successful treatment with a transjugular intrahepatic portosystemic shunt. Am J Gastroenterol. 1993;88:1104–7.PubMed Katz JA, Rubin RA, Cope C, Holland G, Brass CA. Recurrent bleeding from anorectal varices: successful treatment with a transjugular intrahepatic portosystemic shunt. Am J Gastroenterol. 1993;88:1104–7.PubMed
14.
go back to reference Shibata D, Brophy DP, Gordon FD, Anastopoulos HT, Sentovich SM, Bleday R. Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension. Dis Colon Rectum. 1999;42:1581–5.CrossRefPubMed Shibata D, Brophy DP, Gordon FD, Anastopoulos HT, Sentovich SM, Bleday R. Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension. Dis Colon Rectum. 1999;42:1581–5.CrossRefPubMed
15.
go back to reference Fantin AC, Zala G, Risti B, Debatin JF, Schopke W, Meyenberger C. Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shunting (TIPS). Gut. 1996;38:932–5.CrossRefPubMedPubMedCentral Fantin AC, Zala G, Risti B, Debatin JF, Schopke W, Meyenberger C. Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shunting (TIPS). Gut. 1996;38:932–5.CrossRefPubMedPubMedCentral
16.
go back to reference Anan A, Irie M, Watanabe H, Sohda T, Iwata K, Suzuki N et al. Colonic varices treated by balloon-occluded retrograde transvenous obliteration in a cirrhotic patient with encephalopathy: a case report. Gastrointest Endosc. 2006;63:880–4.CrossRefPubMed Anan A, Irie M, Watanabe H, Sohda T, Iwata K, Suzuki N et al. Colonic varices treated by balloon-occluded retrograde transvenous obliteration in a cirrhotic patient with encephalopathy: a case report. Gastrointest Endosc. 2006;63:880–4.CrossRefPubMed
17.
go back to reference Wang M, Desigan G, Dunn D. Endoscopic sclerotherapy for bleeding rectal varices: a case report. Am J Gastroenterol. 1985;80:779–80.PubMed Wang M, Desigan G, Dunn D. Endoscopic sclerotherapy for bleeding rectal varices: a case report. Am J Gastroenterol. 1985;80:779–80.PubMed
18.
go back to reference Levine J, Tahiri A, Banerjee B. Endoscopic ligation of bleeding rectal varices. Gastrointest Endosc. 1993;39:188–90.CrossRefPubMed Levine J, Tahiri A, Banerjee B. Endoscopic ligation of bleeding rectal varices. Gastrointest Endosc. 1993;39:188–90.CrossRefPubMed
19.
go back to reference Firoozi B, Gamagaris Z, Weinshel EH, Bini EJ. Endoscopic band ligation of bleeding rectal varices. Dig Dis Sci. 2002;47:1502–5.CrossRefPubMed Firoozi B, Gamagaris Z, Weinshel EH, Bini EJ. Endoscopic band ligation of bleeding rectal varices. Dig Dis Sci. 2002;47:1502–5.CrossRefPubMed
20.
go back to reference Chen WC, Hou MC, Lin HC, Chang FY, Lee SD. An endoscopic injection with N-butyl-2-cyanoacrylate used for colonic variceal bleeding: a case report and review of the literature. Am J Gastroenterol. 2000;95:540–2.CrossRefPubMed Chen WC, Hou MC, Lin HC, Chang FY, Lee SD. An endoscopic injection with N-butyl-2-cyanoacrylate used for colonic variceal bleeding: a case report and review of the literature. Am J Gastroenterol. 2000;95:540–2.CrossRefPubMed
21.
go back to reference Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Suga T. The value of the endoscopic therapies in the treatment of rectal varices: a retrospective comparison between injection sclerotherapy and band ligation. Hepatol Res. 2006;34:250–5.CrossRefPubMed Sato T, Yamazaki K, Toyota J, Karino Y, Ohmura T, Suga T. The value of the endoscopic therapies in the treatment of rectal varices: a retrospective comparison between injection sclerotherapy and band ligation. Hepatol Res. 2006;34:250–5.CrossRefPubMed
22.
go back to reference Yol S, Belviranli M, Toprak S, Kartal A. Endoscopic clipping versus band ligation in the management of bleeding esophageal varices. Surg Endosc. 2003;17:38–42.CrossRefPubMed Yol S, Belviranli M, Toprak S, Kartal A. Endoscopic clipping versus band ligation in the management of bleeding esophageal varices. Surg Endosc. 2003;17:38–42.CrossRefPubMed
23.
go back to reference Schafer TW, Binmoeller KF. Argon plasma coagulation for the treatment of colonic varices. Endoscopy. 2002;34:661–3.CrossRefPubMed Schafer TW, Binmoeller KF. Argon plasma coagulation for the treatment of colonic varices. Endoscopy. 2002;34:661–3.CrossRefPubMed
Metadata
Title
Transverse colonic varices successfully treated with endoscopic procedure
Authors
Takahiro Sato
Katsu Yamazaki
Jun Akaike
Jouji Toyota
Yoshiyasu Karino
Takumi Ohmura
Hitoshi Nishioka
Publication date
01-06-2008
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 2/2008
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-008-0010-7

Other articles of this Issue 2/2008

Clinical Journal of Gastroenterology 2/2008 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine