TWO CASES OF BLEEDING RECTAL VARICES DEVELOPED DURING FOLLOW UP OF SCLEROTHERAPY FOR ESOPHAGEAL VARICES

Abstract

Bleeding from rectal varices in 2 cases who had previously treated by injection sclerotherapies for esophageal varices were controlled by colonoscopic injection sclerotherapy with the use of 0.5% Aethoxysklerol (AS). Case 1 was 49 yearn old male of idipathic portal hypertension. Case 2 was 67 years old male of ldver cirrhosis with hepatocellural carcinoma (HCC) . Early colonoscopy (U turn observation in the rectum) showed white plug on the rectal varices which was the typical sign of variceal ruptume in both cases and bleeding varices were well treated by colonoscopic injection sclerotherapies. Rectal varices should be cared during the follow up study in casen of esophageal varicen treated by endoscopic injection sclerotherapy.