| Autor: |
Tomiki, Yuichi, Higashiyama, Akinori, Okada, Tsuyoshi, Watanabe, Tomoo, Sengoku, Hironobu, Kamano, Toshiki, Tsurumaru, Masahiko, Hayashida, Yasuo, Seki, Eichiro, Sakurai, Hideki, Fujii, Yuji, Gonda, Hirofumi |
| Předmět: |
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| Zdroj: |
Digestive Endoscopy; Jan2003, Vol. 15 Issue 1, p30-34, 5p |
| Abstrakt: |
Background: Rubber-band ligation of internal hemorrhoids is a well-established office procedure. In addition, endoscopic rubber-band ligation of esophageal varices has become widely accepted. Combining and modifying these techniques, we have conducted endoscopic hemorrhoidal ligation (EHL) since 1993, and we feel that it is appropriate now to evaluate the procedure. Methods: One hundred and nineteen patients who were subjected to EHL were followed and evaluated. Results: Endoscopic hemorrhoidal ligation was markedly effective in 67 cases (56.3%), effective in 41 cases (34.5%), and ineffective in 11 cases (9.2%). Out of the 11 ineffective cases, three of them received surgical hemorrhoidectomy and eight were treated by conservative measures with frequent or continuous use of suppositories. The most common complications after EHL were postoperative anal pain and slight bleeding. Out of 92 patients followed long-term, the 5-year non-recurrence rate was 90.4%. Persistent therapeutic effects were observed in 62 patients (67.4%), whereas 22 patients (23.9%) had to be treated by suppositories and/or ointments as necessary, and eight patients (8.7%) had a relapse. Out of the eight relapsed cases, four received repeated EHL with symptomatic remission, two received hemorrhoidectomy, and two were treated conservatively. Conclusion: Endoscopic hemorrhoidal ligation is an effective method for treating internal hemorrhoids. However, indications for this treatment should be properly decided in each patient, using their history, and general and local conditions. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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