Evaluation of a Minimally Invasive Bipolar Coagulation System for the Treatment of Grade I and II Internal Hemorrhoids
| Autor: | Gerald Gantt, Anders Mellgren, Timothy P. Johnson, Christina V. Warner, Sany Thomas, Johan Nordenstam, Adam Studniarek, Saleh M. Eftaiha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty GI bleeding Pilot Projects Hemorrhoids Severity of Illness Index 03 medical and health sciences 0302 clinical medicine medicine Electrocoagulation Humans Minimally Invasive Surgical Procedures Prospective Studies Aged Gynecology Aged 80 and over Pain Postoperative business.industry Gastroenterology Multiple applications General Medicine Middle Aged medicine.disease Treatment Outcome External Hemorrhoid 030220 oncology & carcinogenesis Visual media Internal Hemorrhoid 030211 gastroenterology & hepatology Female business Symptom score Bipolar coagulation |
| Zdroj: | Diseases of the colon and rectum. 64(5) |
| ISSN: | 1530-0358 |
| Popis: | BACKGROUND Hemorrhoids are common and affect mainly the young and middle-aged populations. Current guidelines recommend treating grade I and II hemorrhoids with office-based procedures. These therapies usually require multiple applications. Hemorrhoid energy therapy treats the hemorrhoids at 1 treatment session. OBJECTIVE The purpose of this study was to evaluate the safety and efficacy of hemorrhoid energy therapy. DESIGN This was a prospective pilot study evaluating patients with symptomatic grade I and II internal hemorrhoids. SETTINGS The study was conducted at a tertiary academic center. PATIENTS Patients over the age of 18 years with chronic, symptomatic grade I and II internal hemorrhoids who failed 2 weeks of conservative therapy were enrolled between July 2015 and January 2019. Exclusion criteria included patients with grade III or IV internal hemorrhoids, external hemorrhoids, nonhemorrhoidal GI bleeding, active proctitis, and IBD. INTERVENTIONS Hemorrhoid energy therapy was administered in clinic, and 2 postprocedure visits were completed. A pretreatment hemorrhoid symptom score was obtained from each patient. A visual analog score was assessed posttreatment. MAIN OUTCOME MEASURES The primary end point was to evaluate the effect of hemorrhoid energy therapy on hemorrhoid symptoms and its safety. The secondary end point was evaluation of postprocedural pain. RESULTS A total of 35 patients were enrolled. The mean duration of hemorrhoid symptoms was 3.3 ± 6.4 years, and rectal bleeding and hemorrhoidal prolapse were the most common symptoms. After the procedure, patient hemorrhoid symptom scores decreased from mean 5.5 to 1.4. The mean immediate postprocedural visual analog score was 2.4 ± 2.1 and decreased to |
| Databáze: | OpenAIRE |
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