Circumferential stapled procedure for bleeding ano-rectal varices is an effective treatment--experience in nine patients.
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.


METHODS
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.


CONCLUSIONS
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.
Kaul
A K
AK
Department of Surgery, University Hospital Aintree, Liverpool, UK. aniltina@yahoo.com
Skaife
P G
PG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000098:blood supply* / Q000601:surgery; D015331:Cohort Studies; D006470:Hemorrhage / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012007:Rectum / Q000098:blood supply* / Q000601:surgery; D017792:Surgical Stapling; D013536:Suture Techniques; D016896:Treatment Outcome; D014648:Varicose Veins / Q000601:surgery*