Characteristics of patients with rectal variceal rupture who underwent emergency endoscopy

Abstract

We investigated the characteristics of patients with rectal variceal rupture who underwent emergency endoscopy. 21 patients with ruptured rectal varices (total, 27 cases) who underwent emergency endoscopy (within 24 h after admission) were examined. Shock (defined as systolic blood pressure ≤ 90 mmHg or heart rate ≥ 100 beats/min) was suspected in 6 cases (22%). When comparing the haemoglobin levels pre- and post-rectal variceal rupture, a decrease of 0.4 (-1.5-2.8) was observed in 6 cases (22%). Seven patients (26%) had packed red blood cell transfusions. Endoscopic findings of rectal varices were F1, F2 and F3, in 9, 12, and 6 cases, respectively. 14 cases (52%) had a red colour sign. 24 cases (89%) were morphologically classified as F2 or F3 or positive for red colour sign. There were few cases of bleeding requiring blood cell transfusion in cases of rectal varicose rupture, and a lot of cases had F2 or F3, or red colour sign in endoscopic findings.