A prospective study comparing the new sclerotherapy and hemorrhoidectomy in terms of therapeutic outcomes at 4 years after the treatment

Yano, Takaaki; Asano, Michio; Tanaka, Shoko; Oda, Noboru; Matsuda, Yasuhide

doi:10.1007/s00595-013-0564-y

Cited by 19 publications

(10 citation statements)

References 5 publications

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“…Among these agents, ALTA seems to be the most effective one, even if in low resource countries, 50% dextrose water could be a safe and effective alternative [77][78][79][80][81][82][83][84][85].…”

Section: Injection Sclerotherapy (Is) Should Be Used For the Treatmenmentioning

confidence: 99%

“…Subjective moderate/excellent improvement was reported in 70-92% of patients suffering from III-and IV-degree HD [81,84]. Recurrence of prolapse is currently 15% at 1 year in unselected II degree [81,86]; meanwhile, the failure rate at 1 year was reported to be, respectively, 25% and 80% in III-degree HD patients treated with ALTA and 5% phenol in almond oil [81,82].…”

Section: Injection Sclerotherapy (Is) Should Be Used For the Treatmenmentioning

confidence: 99%

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Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

et al. 2020

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Hemorrhoidal disease (HD) is the most common proctological disease in the Western countries. However, its real prevalence is underestimated due to the frequent self-medication. The aim of this consensus statement is to provide evidence-based data to allow an individualized and appropriate management and treatment of HD. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL, and EMBASE. These guidelines are inclusive and not prescriptive. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by American College of Chest Physicians. The recommendations were graded A, B, and C.

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Section: Injection Sclerotherapy (Is) Should Be Used For the Treatmenmentioning

confidence: 99%

Section: Injection Sclerotherapy (Is) Should Be Used For the Treatmenmentioning

confidence: 99%

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

et al. 2020

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“…29,30 Long-term durability varies; 20%-53% of patients are symptom free 4 years after sclerotherapy. 31,32 With the simplicity and safety of sclerotherapy, these rates may be acceptable in patients considered high risk for other procedures. Several sessions may be needed for best effect; the surgeon must be mindful of avoiding stricture.…”

Section: Injection Sclerotherapymentioning

confidence: 99%

Hemorrhoids and Fistulas: New Solutions to Old Problems

Rakinic¹,

Poola²

2014

Current Problems in Surgery

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“…Good results are shown also for III degree but data are reported only by case series. A prospective study showed an overall prolapses' improvement in 100% of patients (46), while Yano reported 52% of improvement of prolapse in III degree (43). Miyamoto and Tokunaka in their case series showed an improvement for IV degree, too (44,49).…”

Section: Discussionmentioning

confidence: 99%

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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A prospective study comparing the new sclerotherapy and hemorrhoidectomy in terms of therapeutic outcomes at 4 years after the treatment

Abstract: Our results indicate that hemorrhoidectomy is superior to sclerotherapy. These findings may be useful in the treatment of hemorrhoid patients.

Cited by 19 publications

References 5 publications

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

Hemorrhoids and Fistulas: New Solutions to Old Problems

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

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