Nonsurgical treatment of actively bleeding internal hemorrhoids with a novel endoscopic device (with video)

Kantsevoy, Sergey V.; Bitner, Marianne

doi:10.1016/j.gie.2013.05.014

Cited by 14 publications

(21 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The HET device his indicated to treat grade I and II haemorrhoids. Retrospective and prospective series have suggested the device is safe, effective and allows single session outpatient treatment. To our knowledge, our study is the first prospective randomized trial to evaluate the device.…”

Section: Discussionsupporting

confidence: 72%

“…Had these patients been included in the analysis then further short‐term advantages of HET would have been demonstrated. It is of note that in the retrospective and prospective single arm trials that have previously evaluated HET, no patients have reported any post procedural vagal or urinary complications . The study was not powered to detect differences in complication rates.…”

Section: Discussionmentioning

confidence: 99%

“…Current was applied until the tissue reached 55°C as measured by the included temperature monitor. This technique is described in the previous HET study . The manufacturer recommends 55°C to be adequate to achieve coagulation of the haemorrhoidal pedicle, induce an inflammatory response and generate fibrosis to ‘fix’ the mucosal pedicle to the underlying muscle.…”

Section: Methodsmentioning

confidence: 99%

“…The technique mirrors band ligation but uses diathermy to achieve ligation of the haemorrhoid, as opposed to ischaemia from the rubber band. This device has been used in the treatment early (grade I and II) haemorrhoids . Our randomized study prospectively compares HET with RBL.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Haemorrhoid energy therapy versus rubber band ligation for the management of grade I and II haemorrhoids: a randomized trial

Filgate

Dalzell

Hulme-Moir

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Backgrounds Grade I and II haemorrhoids are commonly managed in colorectal practice. Management often involves rubber band ligation. The haemorrhoid energy therapy (HET) device (Medtronic, Minneapolis, MN, USA) has been developed as an alternative to rubber band ligation (RBL). This study is the first to prospectively evaluate the device versus RBL in the management of grade I and II haemorrhoids. Methods A single blind, randomized controlled trial was conducted in the colorectal outpatient department. Patients with symptomatic haemorrhoids suitable for banding were prospectively recruited and randomized. Primary outcome was post procedural pain at 1 h as recorded on a 10‐point Likert scale. Secondary outcomes were efficacy in reduction of haemorrhoidal symptom score at 12 weeks, daily average and maximum pain scores for 14 days and complications arising from the intervention. Results Thirty patients were randomized (14 HET, 16 RBL). There was no significant difference between the two group's pre‐intervention symptom score and haemorrhoidal grade. The mean pain scores at 1 h in the HET group were 1.5 ± 068 (95% confidence interval), and in the RBL group 4.64 ± 1.74 (95% confidence interval) (P < 0.05). Average (0.7 versus 2.95, P < 0.05) and maximum (1.25 versus 4.4, P < 0.05) pain were lower in the HET group on day one post procedure. At 12 weeks there was no significant difference in the reduction of haemorrhoid symptom scores between the groups (HET 2.27, RBL 1.5 (P > 0.2)). Conclusion HET causes less pain then RBL, and is at least as effective in treating the symptoms associated with grade I and II haemorrhoids in the outpatient setting.

show abstract

Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations