Progress in endoscopic treatment of hemorrhoids

Ma, Wen‐Jie; Guo, Jintao; Yang, Fan; Dietrich, Christoph F.; Sun, Siyu

doi:10.2478/jtim-2020-0036

Cited by 17 publications

(6 citation statements)

References 65 publications

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“…Some studies mentioned that RBL has higher efficacy and lower recurrence19–21 but conflicted with the results we obtained. In our study, no significant difference was found between RBL and coagulation in terms of efficacy rate, and recurrence rate after treatment.…”

Section: Discussioncontrasting

confidence: 81%

Rubber band ligation versus coagulation for the treatment of haemorrhoids: a meta-analysis of randomised controlled trials

Ding

Xuan

Tang

et al. 2022

Postgraduate Medical Journal

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Non-surgical therapies have the advantage of lower postoperative pain and complication rates compared with surgical therapies. Rubber band ligation and coagulation are two kinds of non-surgical therapies. The aim of this study is to compare the clinical outcomes of rubber band ligation and coagulation. A systematic review was conducted to identify randomised clinical trials that compare rubber band ligation and coagulation treatments for haemorrhoids. PubMed and Web of Science were searched, from inception to April 30th,2022. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Fifty-nine studies were identified. Nine trials met the inclusion criteria. All trials were of moderate methodological quality. No significant difference was found between rubber band ligation and coagulation in terms of efficacy rate, postoperative prolapse rate, recurrence rate and postoperative urine retention rate after treatment. Patients undergoing rubber band ligation had higher postoperative pain rate and lower postoperative bleeding rate than patients undergoing coagulation. The subgroup analysis showed that there was no significant difference between rubber band ligation and infrared coagulation or non-infrared coagulation in terms of efficacy rate, postoperative bleeding and postoperative urine retention rate after treatment. Patients undergoing rubber band ligation had a higher postoperative pain rate than patients undergoing infrared coagulation or non-infrared coagulation. We believe that coagulation for haemorrhoids still has a good future. PROSPERO registration number CRD42022311281.

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Section: Discussioncontrasting

confidence: 81%

Rubber band ligation versus coagulation for the treatment of haemorrhoids: a meta-analysis of randomised controlled trials

Ding

Xuan

Tang

et al. 2022

Postgraduate Medical Journal

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“…Another potential treatment option is the application of a ligature to the hemorrhoidal artery. In the event of disease progression, surgical intervention is the definitive treatment for severe and thrombosed external hemorrhoids [26][27][28].…”

Section: Graphical Abstract Backgroundmentioning

confidence: 99%

Ethnomedical knowledge of plants used in alternative medicine for the treatment of hemorrhoids in Lubumbashi, Haut-Katanga Province, Southern Democratic Republic of Congo

Valentin,

Philippe,

Melman

et al. 2024

Preprint

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Background: A variety of medicinal plants are used in traditional medicine in Lubumbashi for the management of hemorrhoidal diseases. However, no investigation has been conducted to gather the knowledge required for this type of management in the region. The present study was conducted to inventory the plants used in Lubumbashi to treat hemorrhoidal diseases and to relate their ethnomedical characteristics. Methods: This study was conducted between March 2022 and February 2023 using semi-structured interviews with households (n=1520), herbalists (n=25), and traditional healers : THs (n=59). Results: The 1,604 respondents (sex ratio M/F = 0.9; mean age: 56 ± 3 years; experience: 12 ± 3 years) provided information on 100 taxa, 84 of which are used against internal hemorrhoids, Phyllanthus amarus being the most cited (Citation Index, CI: 0.76). Most of them are trees (38%) or shrubs (32%), belonging to 90 genera and 45 families dominated by the Fabaceae (10%) and Asteraceae (9%). They are indicated in 76 other pathologies, dominated by gastrointestinal disorders (GID), wounds and sexually transmitted infections (CI > 0.57). From these 100 taxa, 117 anti-hemorrhoidal formulations were derived, 11 of which combined more than one plant. In all these recipes, the leaf is the most commonly used part (>60%) and the liniment (>45%) is the most popular form of application. For the first time, this study reports 14 taxa as plants used in the treatment of hemorrhoids for which some evidence of hemorrhoidal activity has been reported. Among these taxa, Ficus stuhlmannii, Ficus laurifolia, and Ocimum centraliafricanum are listed as medicinal plants for the first time. Khaya nyasica, and Syzygium cordatum, each with 11 uses, have the highest traditional medicinal value. Conclusion: The findings of this study indicate that a significant number of medicinal plants are used in traditional medicine in Lubumbashi for the treatment of hemorrhoidal diseases. Some of these plants are endemic to the biodiversity area, while others are shared with other cultures and regions. A series of pharmacological studies is currently underway with the objective of validating the anti-hemorrhoidal properties of these plants and in order to identify phytochemical compounds responsible of this activity.

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“…Another potential risk of sclerotherapy is the development of blood clots in the treated veins, which may cause inflammation and pain. In addition, there is a risk that the injected chemical solution may leak into surrounding tissues, causing damage or irritation [42,43]. In some cases, sclerotherapy may also lead to the recurrence of hemorrhoids or the development of new hemorrhoids.…”

Section: Sclerotherapymentioning

confidence: 99%

“…Outpatient treatment is usually sufficient for patients with hemorrhoids, allowing them to leave the hospital soon after treatment. However, the effectiveness of EIS typically takes 1-2 weeks [42,44]. During this time, it is helpful for doctors and nurses to provide education and information to patients to improve treatment success.…”

Section: Sclerotherapymentioning

confidence: 99%

Hemorrhoidal Disease: How to Proceed After Unsuccessful Medical Treatment?

Coral

2023

OAJS

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Hemorrhoids are the symptomatic enlargement and displacement of the normal anal vascular plexus. It is estimated that up to 50% of the adult population may eventually develop hemorrhoids. The incidence increases with age and is more common in males than females. Hemorrhoidal disease has a multifactorial etiology, but it mainly results from increased pressure on the hemorrhoidal veins, leading to vascular congestion, enlargement, and subsequent protrusion. The condition is characterized by swelling and inflammation of the blood vessels in the anal canal. Hemorrhoids are classified into two types: internal hemorrhoids, which occur inside the anal canal, and external hemorrhoids, which occur outside the anus. Clinical presentation includes rectal bleeding, prolapse sensation, anal pain, irritation, and/or anal discharge. The most common symptom is rectal bleeding, which is usually painless and associated with defecation. The patient's history and clinical examination establish the diagnosis of hemorrhoids. Treatment depends mainly on the severity of the condition. Conservative therapies such as dietary modifications, increased fiber intake, and sitz baths may be sufficient for mild cases. Topical medications such as corticosteroids, vasoconstrictors, and local anesthetics may also relieve symptoms. Minimally invasive procedures such as rubber band ligation, sclerotherapy, cryotherapy, or infrared coagulation may be recommended for more severe cases. For those severe cases that do not respond to other treatments, a more invasive procedure (hemorrhoidectomy) may be necessary. This article provides a comprehensive overview of the different therapeutic alternatives for hemorrhoids, mainly focusing on surgical procedures.

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Progress in endoscopic treatment of hemorrhoids

Cited by 17 publications

References 65 publications

Rubber band ligation versus coagulation for the treatment of haemorrhoids: a meta-analysis of randomised controlled trials

Rubber band ligation versus coagulation for the treatment of haemorrhoids: a meta-analysis of randomised controlled trials

Ethnomedical knowledge of plants used in alternative medicine for the treatment of hemorrhoids in Lubumbashi, Haut-Katanga Province, Southern Democratic Republic of Congo

Hemorrhoidal Disease: How to Proceed After Unsuccessful Medical Treatment?

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