Ano-rectal physiological changes after rubber band ligation and closed haemorrhoidectomy
Autor: | J. Weltner, Flautner L, Attila Bursics, Morvay K |
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Rok vydání: | 2003 |
Předmět: |
medicine.medical_specialty
Manometry medicine.medical_treatment Anal Canal Rubber band ligation Gastroenterology Hemorrhoids Closed haemorrhoidectomy Basal (phylogenetics) Internal medicine medicine Humans Prospective Studies Prospective cohort study Ligation Digestive System Surgical Procedures Aged business.industry Anal canal Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome business After treatment |
Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 6(1) |
ISSN: | 1462-8910 |
Popis: | The effect of treatment for haemorrhoids on ano-rectal physiology was studied in a prospective longitudinal follow-up study.Thirty-six consecutive patients having II-III degree (Group I, 18 patients) or IV degree (Group II, 18 patients) haemorrhoids were studied. Group I underwent rubber band ligation while Group II underwent closed scissors haemorrhoidectomy.Patients in Group I had significantly lower maximum basal pressure (P0.05) and also significantly lower maximum squeeze pressure (P0.05) compared to Group II before treatment. Both basal and squeeze pressures dropped after haemorrhoidectomy (P0.001) whereas they remained unchanged after rubber band ligation (P0.1). The volume of first sensation was higher in Group II before treatment (P0.001) and remained so after treatment. Rectal compliance was higher (P0.005) in Group I before treatment. It increased significantly in both groups (P0.05, Group I; P0.001, Group II) after treatment.The results show a significant increase in anal pressures in constantly prolapsing (IV degree) haemorrhoids. Most of the physiological differences observed between the two groups were abolished after treatment. This suggests that these may be a consequence rather than a cause of haemorrhoids. |
Databáze: | OpenAIRE |
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