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Clinical Journal of Gastroenterology

, Volume 12, Issue 1, pp 10–14 | Cite as

A case of early colorectal cancer with rectal varices treated with endoscopic variceal ligation

  • Shuhei IshiyamaEmail author
  • Junji Shiode
  • Masao Yoshioka
  • Junichirou Nasu
  • Akiko Fujiwara
  • Mamoru Itoh
  • Masakuni Fujii
  • Shusuke Saitoh
  • Mitsuhiro Kanetoh
  • Hisanori Oka
Case Report
  • 63 Downloads

Abstract

Rectal varices are ectopic varices that occur in patients with portal hypertension and cause abrupt gastrointestinal bleeding. Endoscopic variceal ligation is a minimally invasive treatment used for patients with bleeding from rectal varices. Endoscopic treatment of colorectal tumors accompanied by rectal varices has been rarely reported. It is very important to control bleeding during treatment. The patient was a 76-year-old man who had a chief complaint of bloody stools. A flat-elevated-type neoplastic lesion measuring about 20 mm was found above the rectal varices. After performing endoscopic variceal ligation for rectal varices around the lesion, the lesion was resected en bloc by endoscopic submucosal dissection. Bleeding was controlled during the procedure; the patient was discharged 7 days after the endoscopic treatment, and there was no postoperative bleeding. Colonoscopy performed 90 days after the procedure showed scar formation in the wound area and no remnant lesion. The implementation of preoperative endoscopic variceal ligation enabled us to control bleeding during endoscopic treatment in a case of early colorectal cancer accompanied by rectal varices.

Keywords

Case report Endoscopic variceal ligation Early colorectal cancer 

Notes

Compliance with ethical standards

Conflict of interest

Shuhei Ishiyama, Junji Shiode, Masao Yoshioka, Junichirou Nasu, Akiko Fujiwara, Mamoru Itoh, Masakuni Fujii, Shusuke Saitoh, Mitsuhiro Kanetoh and Hisanori Oka declare that they have no conflict of interest.

Human rights

All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Informed consent was obtained from all patients for being included in the study.

Supplementary material

Supplementary material 1 (M4V 8028 KB)

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Copyright information

© Japanese Society of Gastroenterology 2018

Authors and Affiliations

  • Shuhei Ishiyama
    • 1
    Email author
  • Junji Shiode
    • 1
  • Masao Yoshioka
    • 1
  • Junichirou Nasu
    • 1
  • Akiko Fujiwara
    • 1
  • Mamoru Itoh
    • 1
  • Masakuni Fujii
    • 1
  • Shusuke Saitoh
    • 1
  • Mitsuhiro Kanetoh
    • 1
  • Hisanori Oka
    • 1
  1. 1.Internal MedicineOkayama Saiseikai General HospitalOkayamaJapan

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