A prospective randomised comparative study of endoscopic band ligation versus injection sclerotherapy of bleeding internal haemorrhoids in patients with liver cirrhosis

Awad, Atif; Soliman, Hanan; Saif, Sabry Abdel Latif Abou; Darwish, Abdel Monem Nooman; Mosaad, Samah; Elfert, Asem

doi:10.1016/j.ajg.2012.03.008

Cited by 28 publications

(23 citation statements)

References 9 publications

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“…Bleeding stop is reported up to 90% of patients in 4 RCTs (9-10, 13, 25). Improvement in II degree hemorrhoids is shown in 93% of patients in the RCTs of Ricci, Gupta and Juthaba (9)(10)25) and in 100% in the RCT proposed by Awad (7). III degree hemorrhoidal improvement is shown in 78% and 83,8% of patients in two RCTs (7-51).…”

Section: Resultsmentioning

confidence: 88%

“…Recurrences of bleeding and prolapse at follow-up occur in 10%-18% (7,9,11,25) and in 2.2% of patients (25), respectively. Kanellos reported higher percentages of minor complications (46% of recurrence for bleeding and 34% for prolapses in II degree hemorrhoids) (14).…”

Section: Resultsmentioning

confidence: 99%

“…Azizi found a 94% of success for RBL in I-III degree (8). Awad in an RCT reports 50% of improvement in IV degree prolapsed hemorrhoids (7).…”

Section: Resultsmentioning

confidence: 99%

“…Data regarding I or IV degree treatment and its efficacy are occasionally reported. Awad in an RCT reports 50 % of improvement in IV degree prolapsed hemorrhoids (7). The overall subjective improvement ranges from 73% to 84%.…”

Section: Discussionmentioning

confidence: 99%

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The non-surgical management for hemorrhoidal disease. A systematic review

Cocorullo¹

2017

GHIR

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IntroductionRationale. The non-surgical treatments for hemorrhoids include rubber band ligation (RBL), injection sclerotherapy (IS), infrared coagulation (IRC), anal stretch, cryosurgery, laser hemorroidectomy. These treatments are usually performed in outpatient clinics without anesthesia, so reducing the costs related to hospital stay, operation-theatre and anesthesia; moreover, these techniques are time-saving and allow preserving patients' working days. These procedures have found a large use in patients suffering bleeding and prolapse caused by early hemorrhoidal stages that did not found an improvement with conservative therapy.Objectives. The aim of this review is to provide a framework to select the best procedure for different patients in order to minimize complications and to obtain the cure for this widespread social problem. Among the treatments RBL, IS and IRC are the most utilized and were analyzed. It was analyzed: 1) Does these procedures help? 2) What are the common harms? 3) What are the rare harms? 4) How many are the recurrences? MethodsThis systematic review was undertaken in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines (2).Eligibility criteria. Studies on patient complaining of bleeding or prolapse due to hemorroidal disease managed with RBL, IS and IRC were collected. The hemorroidal degrees and the presence of bleeding or prolapses were analyzed. The well-defined treatment modality and the symptoms resolution as outcome measures were The non-surgical treatments for hemorrhoids are cost and time-saving techniques usually performed in patients suffering early hemorrhoidal disease. The most used are rubber band ligation (RBL), injection sclerotherapy (IS), and infrared coagulation (IRC

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

“…Azizi found a 94% of success for RBL in I-III degree (8). Awad in an RCT reports 50% of improvement in IV degree prolapsed hemorrhoids (7).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The non-surgical management for hemorrhoidal disease. A systematic review

Cocorullo¹

2017

GHIR

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“…There are no guidelines for the treatment of bleeding and/or prolapsed haemorrhoids in patients with liver cirrhosis. A few reports have proposed stapled hemorrhoidopexy as an effective and safe technique for symptomatic hemorrhoids in advanced liver disease (12)(13)(14). In this study, all cases could be treated using ALTA sclerotherapy (10,11), which has been accepted in Japan as the preferred first line treatment for Goligher grade 2 or 3 internal haemorrhoids (11).…”

Section: Discussionmentioning

confidence: 92%

Sclerotherapy Using Aluminum Potassium Sulfate and Tannic Acid (ALTA) for Haemorrhoids in Patients With Liver Cirrhosis

Miyamoto¹,

Nakagawa²,

Miyamoto³

et al. 2015

Ann Colorectal Res

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Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Trompetto¹,

Clerico²,

Cocorullo

et al. 2015

Tech Coloproctol

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Hemorrhoids are one of the most common medical and surgical diseases and the main reason for a visit to a coloproctologist. This consensus statement was drawn up by the Italian society of colorectal surgery in order to provide practice parameters for an accurate assessment of the disease and consequent appropriate treatment. The authors made a careful search in the main databases (MEDLINE, PubMed, Embase and Cochrane), and all results were classified on the basis of the grade of recommendation (A-C) of the American College of Chest Physicians.

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A prospective randomised comparative study of endoscopic band ligation versus injection sclerotherapy of bleeding internal haemorrhoids in patients with liver cirrhosis

Cited by 28 publications

References 9 publications

The non-surgical management for hemorrhoidal disease. A systematic review

The non-surgical management for hemorrhoidal disease. A systematic review

Sclerotherapy Using Aluminum Potassium Sulfate and Tannic Acid (ALTA) for Haemorrhoids in Patients With Liver Cirrhosis

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

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