Rubber band ligation of hemorrhoids: relapse as a function of time
| Autor: | Marc-Claude Marti, Thierry Glauser, Alexandru Dobrinov, Bruno Roche, Corinna Ludwig, Daniel Savioz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Cryotherapy Rubber band ligation Hemorrhoids Recurrence medicine Sclerotherapy Humans Ligature Ligation Retrospective Studies First episode ddc:617 Vascular disease business.industry Gastroenterology Retrospective cohort study Middle Aged medicine.disease Hemorrhoids/epidemiology/surgery Ligation/methods Surgery Treatment Outcome Female business Follow-Up Studies |
| Zdroj: | International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery, Vol. 13, No 4 (1998) pp. 154-6 |
| ISSN: | 0179-1958 |
| Popis: | Rubber band ligation is a well established treatment of internal second-degree hemorrhoids. Up to now, the long-term results (> 5 years) of this method have not been assessed. The aim of this study was to determine the long-term success rate of rubber band ligation in patients with a first episode of second-degree hemorrhoids not responding to medical treatment (local cream with laxative). A total of 92 patients who were treated between 1979 and 1997 for second-degree hemorrhoids responded to a questionnaire. The need for complementary conservative (sclerotherapy, cryotherapy or rubber band ligation) or surgical treatment was considered indicative of relapse. The collected data were analyzed according to the Kaplan-Meier method. The average follow-up time was 5.6 years. There were 21 patients who suffered a relapse. The probability of successful treatment was 0.77 (range: 0.67-0.88) after 5 years and 0.68 (range: 0.5-0.86) after 10.6 years. We conclude that rubber band ligation represent an efficient long-term treatment for second-degree hemorrhoids. Approximately two thirds of the patients are cured after 5 years and more than a half after 10 years. |
| Databáze: | OpenAIRE |
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