Endoscopic injection of methylene blue combined with curing agent in the treatment of ectopic rectal varicose hemorrhage
WANG Lingling, GE Qing, HUANG Qin, YE Liping
Department of Gastroenterology,Taizhou Hospital Affiliated to Wenzhou Medical University, Enze Hospital Taizhou Enze Medical Center (Group),Taizhou 318000, China
WANG Lingling,GE Qing,HUANG Qin, et al. Endoscopic injection of methylene blue combined with curing agent in the treatment of ectopic rectal varicose hemorrhage[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(11): 924-927,930.
Abstract：Objective: To seek a new endoscopic treatment for ectopic rectal varicose hemorrhage with methylene blue combined with curing agent. Methods: A retrospective analysis was performed on two cases of ectopic rectal varicose hemorrhage, focusing on the diagnosis, procedures of endoscopic injection of methylene blue combined with curing agent, the surgical precautions and the therapeutic effect. Results: The diagnosis of ectopic rectal varices mainly depends on abdominal CT, selective angiography and electronic colonoscopy.Methylene blue combined with curing agent could ensure the precise injection, a much clearer operation field,the co-assessment of the dosage of the curing agent, thus reducing the endoscopic complications. Methylene blue injection combined with curing agent under endoscope was used to successfully treat 2 patients with ectopic rectal varicose hemorrhage. Conclusion: Endoscopic treatment is usually the first choice for ectopic rectal varicose hemorrhage, which is rare and complicated with large amount of bleeding and critical condition.Methylene blue injection combined with curing agent under endoscope is safe and effective in the treatment of ectopic rectal varicose hemorrhage.
