Application of rubber band ligation as a treatment of internal hemorrhoids

Authors

  • Sevil Ozer Sari Department of Gastroenterology, Tepecik Trainning and Research Hospital, İzmir, Turkey
  • Coşkun Yıldız Department of Gastroenterology, Tepecik Trainning and Research Hospital, İzmir, Turkey

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213066

Keywords:

Rubber band ligation, Hemorrhoids, Rigid anoscope

Abstract

Background: Aim was to more than three-quarters of the whole population will experience complaints of hemorrhoids at some point in their lifetime. The treatment of internal hemorrhoids includes medical, minimally invasive and surgical treatments. The aim of the study was to evaluate the data of patients who were applied with rubber band ligation (RBL) as a minimally invasive treatment method of internal hemorrhoids.

Method: The study conducted in the gastroenterology department of Izmir Tepecik training and research hospital between December 2015 and December 2019. Demographic and laboratory data of the patients, the success and the complications rates of the procedure were evaluated retrospectively .

Results: Evaluation was carried out  in 45 consecutive patients, comprising 23 (51.1%) females and 22 (48.9%) males with a mean age of 54.62±7.82 years (range, 40-82 years). Procedural success rate was 91.1% and failure of treatment was seen in 8.9% of the patient. Recurrence rate of RBL procedure determined with control rectoscopy was found as 5.26% at 1 year follow-up. No major complications developed in any patient. Significant correlation was determined between the development of bleeding and the use of anticoagulants and anti-aggregants (p=0.003). No significant relationship was seen between the number of band ligation procedures and the development of complications (p=0.275).

Conclusions: The application of RBL, which is widely used in the treatment of internal hemorrhoids, is a reliable and low-cost method that shortens the length of stay in hospital, which can be preferred in patients with high comorbidity risk for surgery. 

References

Nisar PJ, Scholefield JH. Managing haemorrhoids. BMJ. 2003;327:847-51.

François P, Laurent S, François A. Risk factors associated with hemorrhoidal symptoms in specialized consultation. Gastroentérol Clin et Biologique. 2005;29(12):1270-74.

Stefan R, Friedrich A, Katrin S, Thomas R, Martina M, Gottfried S et al. The prevalence of hemorrhoids in adults. Int J Color Dis 2012;27(2):215-20.

Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol. 2012;18:2009-17.

Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management Clin Colon Rectal Surg. 2016;29(1):22-9.

Madoff RD, Fleshman JW. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterol. 2004;126:1463-73.

Siddiqui UD, Barth BA, Banerjee S, Bhat YM, Chauhan SS, Gottlieb KT et al. Devices for the endoscopic treatment of hemorrhoids. Gastrointest Endosc. 2014;79:8-14.

MacRae HM, McLeod RS. Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon Rectum. 1995;38:687-94.

Iyer VS, Shrier I, Gordon PH. Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum. 2004;47:1364-70.

Cazemier M, Felt-Bersma RJ, Cuesta MA, Mulder CJ. Elastic band ligation of hemorrhoids: flexible gastroscope or rigid proctoscope? World J Gastroenterol. 2007;13:585-7.

Wehrmann T, Riphaus A, Feinstein J, Stergiou N. Hemorrhoidal elastic band ligation with flexible videoendoscopes: a prospective, randomized comparison with the conventional technique that uses rigid proctoscopes. Gastrointest Endosc. 2004;60:191-5.

Sajid MS, Bhatti MI, Caswell J, Sains P, Baig MK. Local anaesthetic infiltration for the rubber band ligation of early symptomatic haemorrhoids: a systematic review and meta-analysis. Updates Surg. 2015;67:3-9.

Bat L, Melzer E, Koler M, Dreznick Z, Shemesh E. Complications of rubber band ligation of symptomatic internal hemorrhoids. Dis Colon Rectum. 1993;36:287-90.

Longman RJ, Thomson WH. A prospective study of outcome from rubber band ligation of piles. Colorectal Dis. 2006;8:145-8.

Komborozos VA, Skrekas GJ, Pissiotis CA. Rubber band ligation of symptomatic internal hemorrhoids: results of 500 cases. Dig Surg. 2000;17:71-6.

Andreia Albuquerque. Rubber band ligation of hemorrhoids: A guide for complications World J Gastrointest Surg. 2016;27;8(9):614-20.

Barron J. Office ligation of internal hemorrhoids. Am J Surg. 1963;105:563-70.

Su MY, Chiu CT, Lin WP, Hsu CM, Chen PC. Long-term outcome and efficacy of endoscopic hemorrhoid ligation for symptomatic internal hemorrhoids. World J Gastroenterol. 2011;17(19):2431-6.

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Published

2021-07-28

How to Cite

Sari, S. O., & Yıldız, C. (2021). Application of rubber band ligation as a treatment of internal hemorrhoids. International Journal of Research in Medical Sciences, 9(8), 2235–2239. https://doi.org/10.18203/2320-6012.ijrms20213066

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Section

Original Research Articles