Elastic band ligation of hemorrhoids using flexible gastroscope
DOI:
https://doi.org/10.22317/jcms.v3i9.131Abstract
Objective This study aims at investigating the outcome of rubber band ligation of piles in an outpatient setting.
Methods After taking an informed consent, 46 patients, 89% of them were males, mean age 52.5 years, with uncomplicated grade II-III piles were involved in the study. Rubber band ligation of piles was made by Pentax iScan gastroscope. The patients were followed up regularly to record any complication.
Results Most of the patients (91.3%) need one session of treatment, 3 patients need 2 sessions, no more than 2 bands were used. Additionally, a relatively low percentage of patients recorded certain complication of the operation, on follow up.
Conclusion High success rate, cost effectiveness and the simplicity of rubber band ligation as an outpatient procedure promote its use as the first line of treatment for first, second and early third degree hemorrhoids.
References
Poen AC, Felt-Bersma RJ, Cuesta MA, Deville W, Meuwissen SG. A randomized controlled trial of rubber band ligation versus infra-red coagulation in the treatment of internal haemorrhoids. Eur J Gastroenterol Hepatol.2000;12:535–539.
Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology.1990;98:380–386.
Madoff RD, Fleshman JW. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterology.2004;126:1463–1473.
Blaisdell PC. Office ligation of internal hemorrhoids. Am J Surg.1958;96:401–404.
Barron J. Office ligation of internal hemorrhoids. Am J Surg.1963;105:563–570.
Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls JG: Symptomatic hemorrhoids: Current incidence and complications of operative therapy. Dis Colon Rectum. 1992;35:477–481.
Gehamy RA, Weakley FL: Internal hemorrhoidectomy by elastic ligation. Dis Colon Rectum. 1974;17:347–353.
Arabi Y, Gate House D, Alexander-Williams J, Keighley MR: Rubber band ligation or rectal subcutaneous sphincterotomy for treatment of hemorrhoids. Br J Surg. 1977;64:739–740.
Muller CA:Internal hemorrhoidectomy by rubber band ligation. Proctology. 1980;5:317–319.
Wrobleski DE, Corman ML, Veidenheimer MC, Coller JA: Long-term evaluation of rubber ring ligation in hemorrhoidal disease.Dis Colon Rectum. 1980;23:478–482.
O’Hara VS:Fatal clostridial infection following hemorrhoid banding. Dis Colon Rectum. 1980;23:570–571.
Russell TR, Donohue JH: Hemorrhoidal banding: A warning. Dis Colon Rectum. 1985;28:291–293.
Bernal JC, Enguix M, Lopez Garcia J, GarciaRomero J, Trullenque Peris. Rubber-band ligation for hemorrhoids inacolorectal unit. A prospective study. Rev Esp Enferm Dig Org Ofic Soc Esp Patologia Dig. 2005;97(1):38–45.
Iyer VS, Shrier I, Gordon PH: Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum. 2004;47(8):1364–1370.
Komborozos VA, Skrekas GJ, Pissiotis CA:Rubber band ligation of symptomatic internalhemorrhoids: Results of 500 cases. Dig Surg. 2000;17(1):71–76.
Forlini A, Manzelli A, Quaresima S, Forlini M: Long-term result aft errubber band ligation for haemorrhoids. Int J Color Dis. 2009;24(9):1007–1110.
Trowers EA, Ganga U, Rizk R, Ojo E, Hodges D. Endoscopic hemorrhoidal ligation: preliminary clinical experience. Gastrointest Endosc. 1998; 48: 49-52.
Qureshi S, Aziz T, Afzal A, Maher M.Rubber band ligation of symptomatic internal haemorrhoids; result of 450 cases. J Surg Pak. 2009;14(1):19–22.
Dickey W, Garrett D. Hemorrhoid banding using videoendoscopic anoscopy and a single-handed ligator: an effective, inexpensive alternative to endoscopic band ligationDickey W, Garrett D. Hemorrhoid banding using videoen. Am J Gastroenterol.2000;95:1714–1716.
Rehan Abbas Khan, Muhammad Iqbal, Farhan Zaheer, Khalid Ahsan Malik, Anis Uz Zaman, Rubber band ligation for the symptomatic hemorrhoids. What troubles the patient? Pak J Surg. 2012;28(4):266–270.
Takano M, Iwadare J, Ohba H, Takamura H, Masuda Y, Matsuo K, et al. Sclerosing therapy of internal hemorrhoids with a novel sclerosing agent. Comparison with ligation and excision. Int J Colorectal Dis.2006;21:44–51.
Kwok SY, Chung CC, Tsui KK, Li MK. A double-blind, randomized trial comparing Ligasure and Harmonic Scalpel hemorrhoidectomyKwok SY, Chung CC, Tsui KK, Li MK. A double-blind, randomized trial comparing Ligasure and Harmonic Scalpel hem. Dis Colon Rectum.2005;48:344–348.
Fukuda A, Kajiyama T, Kishimoto H, Arakawa H, Someda H, Sakai M, Seno H, Chiba T. Colonoscopic classification of internal hemorrhoids: usefulness in endoscopic band ligation. J Gastroenterol Hepatol.2005;20:46–50.
Trowers EA, Ganga U, Rizk R, Ojo E, Hodges D. Endoscopic hemorrhoidal ligation: preliminary clinical experience. Gastrointest Endosc.1998;48:49–52.
Dickey W, Garrett D. Hemorrhoid banding using video endoscopic anoscopy and a single-handed ligator: an effective, inexpensive alternative to endoscopic band ligation. Am J Gastroenterol.2000;95:1714–1716.
Cazemier M, Felt-Bersma RJF, Cuesta MA, Mulder CJJ. Elastic band ligation of hemorrhoids:Flexible gastroscope or rigid proctoscope? World J Gastroenterol. 2007;13:585–587.
Wehrmann T, Riphaus A, Feinstein J, Stergiou N. Hemorrhoidal elastic band ligation with flexible videoendoscopes: a prospective, randomized comparison with the conventional technique that uses rigid proctoscopes. Gastrointest Endosc.2004;60:191–195.
Azizi R, Rabani-Karizi B, Taghipour MA. Comparison between Ultroidand rubber band ligation in treatment of internal hemorrhoids. Acta Med Iran. 2010;48(6):389–393.
Dilawaiz M, Bashir MA, Rashid A. Hemorrhoidectomy vs rubber band; comparison of post-operative complications. Professional Med J. 2011;18:571–574.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.