Elastic band ligation of hemorrhoids: Flexible gastroscope or rigid proctoscope?

Cazemier, M.; Felt-Bersma, R. J. F.; Cuesta, M. A.; Mulder, Chris J.

doi:10.3748/wjg.v13.i4.585

Cited by 35 publications

(27 citation statements)

References 16 publications

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“…Post-operative pain ranges from 8% to 80 % in different RCTs (8-10, 12-14, 22-24). Post-operative bleeding is reported in up to 50% of patients in the RCT proposed by Ramzisham, however lower rates are presented in others RCTs (11). The reported incidences in different studies are showed in Table 3.…”

Section: Resultsmentioning

confidence: 93%

“…The reported number of sessions is generally one, occasionally two with a period of 4 week between sessions. Ramrhizsar and Cazemier, in their RCTs, insert 2 or 3, until 6, bands per session (11)(12); Fukuda proposes in a case-series that until 8 bands for session can be positioned (20). The prevalent post-operative complications are bleeding and pain.…”

Section: Resultsmentioning

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: 93%

Section: Resultsmentioning

confidence: 99%

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

Cocorullo¹

2017

GHIR

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“…[22][23][24] Similarly, the use of a flexible endoscope for hemorrhoidal elastic band ligation was further analyzed using video endoscopic anoscopy and a single-handed ligator. [24][25][26] These studies conclude that it is a safe and efficient method with some advantages, although costs are still a major drawback.…”

Section: Discussionmentioning

confidence: 88%

“…Some studies evaluated the use of a flexible endoscope equipped with a ligation cap, normally used for the ligation of esophageal varices, in treating hemorrhoids. [16][17][18][19][20][21][22][23][24][25][26][27][28] A study from Iran shows that, with rubber band ligation, 26% of patients reported mild and moderate pain and 1% complained of severe pain. 28 A recent study from Faisalabad show that 60% of patients developed mild to moderate bleeding in the first postoperative week.…”

Section: Discussionmentioning

confidence: 99%

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Elastic band ligation of hemorrhoids using ﬂexible gastroscope

Al-Khattabi¹,

Ali²,

Al-jameel³

et al. 2017

J. contemp. med. sci.

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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.

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