An unexpected complication in grade III internal hemorrhoids following treatment with cap-assisted endoscopic sclerotherapy

2021 ◽  
Author(s):  
Fan Zheng ◽  
Yong Yang ◽  
Qin Huang ◽  
Zheng Xu
Keyword(s):  
Endoscopic Sclerotherapy ◽  
Internal Hemorrhoids ◽  
Grade Iii

scholarly journals Flexible Video-Endsocopic Injection Sclerotherapy for Second and Third Degree Internal Hemorrhoids

2011 ◽  
Vol 02 (01) ◽  
pp. 001-005 ◽  
Author(s):  
Sandeep Nijhawan ◽  
Gaurav Gupta ◽  
Anil Sharma ◽  
Amit Mathur ◽  
Bharat Sapra ◽  
...  
Keyword(s):  
Injection Sclerotherapy ◽  
Endoscopic Sclerotherapy ◽  
Efficacy And Safety ◽  
Rectal Pain ◽  
Field Of Vision ◽  
Internal Hemorrhoids ◽  
Grade Ii ◽  
Surgical Treatments ◽  
Success Of Treatment ◽  
Grade Iii

ABSTRACT Background and objectives: Bleeding from hemorrhoids is the commonest cause of rectal bleeding in adults. Injection sclerotherapy of internal hemorrhoids is one of the non-surgical treatments, and is simple, safe and feasible. Conventionally sclerotherapy is performed with rigid proctoscope which has limitations of maneuverability, narrower field of vision and documentation compared to flexible videoendoscope. Therefore, we assessed the efficacy and safety of video-colonoscopic sclerotherapy for bleeding internal hemorrhides. Methods: Seventy-nine patients of bleeding internal hemorrhoids were subjected to colonoscopic sclerotherapy using 1.5% polidocanol in retroflexed or forward viewing positions. Success of treatment was defined as cessation of bleeding for six weeks. Patients were observed for complications and were followed up regularly for 3 months. Results: A total of 79 evaluable patients, 61 had grade II and 18 had grade III hemorrhoids. There was no statistically significant differences in achieving excellent or good results for control of bleeding between patients with grade II and grade III hemorrhoids (100% vs 94,5%; p>0.05). The number of sessions of sclerotherapy required were significantly more in grade II than grade III hemorrhoids (1.1 ± 0.3 vs 1.3 ± 0.7; p = 0.04). No significant complications were noted except for bloating in ten patients (12.6 %) and rectal pain in 6 (7.6%) patients. Median time taken for the procedure was 30 minutes. Conclusions: Video-endoscopic sclerotherapy is safe, well-tolerated and effective treatment for bleeding internal hemorrhoids.(J Dig Endosc 2011;2(1):1-5)

scholarly journals Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Yuichi Tomiki ◽  
Seigo Ono ◽  
Jun Aoki ◽  
Rina Takahashi ◽  
Shun Ishiyama ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Tannic Acid ◽  
Internal Hemorrhoid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Normal Position ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Internal Hemorrhoids ◽  
Mild Fever

Objective. A new sclerosing agent for hemorrhoids, aluminum potassium sulfate and tannic acid (ALTA), is attracting attention as a curative treatment for internal hemorrhoids without resection. The outcome and safety of ALTA sclerotherapy using an endoscope were investigated in the present study. Materials and Methods. Subjects comprised 83 internal hemorrhoid patients (61 males and 22 females). An endoscope was inserted and retroflexed in the rectum, and a 1st-step injection was applied to the upper parts of the hemorrhoids. The retroflexed scope was returned to the normal position, and 2nd–4th-step injections were applied to the middle and lower parts of the hemorrhoids under direct vision. The effects of endoscopic ALTA sclerotherapy were determined by evaluating the condition of the hemorrhoids using an anoscope and interviewing the patient 28 days after the treatment. Results. A cure, improvement, and failure were observed in 54 (65.1%), 27 (32.5%), and 2 (2.4%) patients, respectively, treated with ALTA. Complications developed in 4 patients (mild fever in 3 and hematuria in 1). Recurrence occurred in 9.6%. Conclusions. The results of the present study suggest that endoscopic ALTA has the potential to become a useful and minimally invasive approach for ALTA sclerotherapy.

scholarly journals Efficacy of modified rubber band ligation in the treatment of grade III internal hemorrhoids

2020 ◽  
Vol 9 (5) ◽  
pp. 31-31
Author(s):  
Lei Jin ◽  
Haojie Yang ◽  
Kaijian Qin ◽  
Ying Li ◽  
Can Cui ◽  
...  
Keyword(s):  
Rubber Band Ligation ◽  
Rubber Band ◽  
Band Ligation ◽  
Internal Hemorrhoids ◽  
Grade Iii

scholarly journals Endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid for internal hemorrhoids

Endoscopy ◽  
2014 ◽  
Vol 46 (S 01) ◽  
pp. E114-E114 ◽  
Author(s):  
Yuichi Tomiki ◽  
Seigo Ono ◽  
Jun Aoki ◽  
Rina Takahashi ◽  
Kazuhiro Sakamoto
Keyword(s):  
Tannic Acid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Internal Hemorrhoids

scholarly journals Effectiveness of Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid as a Non-Surgical Treatment for Internal Hemorrhoids

2019 ◽  
Vol 52 (6) ◽  
pp. 581-587 ◽  
Author(s):  
Yuichi Tomiki ◽  
Jun Aoki ◽  
Shunsuke Motegi ◽  
Rina Takahashi ◽  
Toshiaki Hagiwara ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tannic Acid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Internal Hemorrhoids ◽  
Non Surgical Treatment

Comparison of Milligan Morgan Hemorrhoidectomy and Stapled Hemorrhoidectomy In Recent Years For Patients With Grade III And IV Hemorrhoids: A Meta-Analysis

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Kandel Abd-Elfattah ◽  
Ibrahim Magid Abd-Elmaksud ◽  
Aya Essam Mohamed Abd-Elmoniem
Keyword(s):  
Data Extraction ◽  
Meta Analysis ◽  
Current Evidence ◽  
Anal Stenosis ◽  
Stapled Hemorrhoidectomy ◽  
Eligibility Criteria ◽  
Surgical Methods ◽  
Internal Hemorrhoids ◽  
Ethical Approval ◽  
Grade Iii

Abstract Background Hemorrhoids are one of the most common conditions in the world, and grade III and IV internal hemorrhoids are mainly treated with surgery. However, there are many different surgical methods, and many postoperative complications occur. Therefore, we aimed to compare of milligan morgan (MM) hemorrhoidectomy and stapled hemorrhoidectomy (ST) for patients with grade III And IV Hemorrhoids. Objective To compere between Milligan-Morgan hemorrhoidectomy and Stapled hemorrhoidectomy as regards postoperative anal stenosis and fecal incontinence in recent years for treatment grade III and IV hemorrhoids using a meta-analysis approach. Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2020. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion It is concluded that ST appeared to be the best surgical procedure than MM for grade III and IV hemorrhoids based on the current evidence.

EVALUATION THE SURGICAL TREATMENT OF HEMORRHOID DISEASE BY TRANSANAL HEMORRHOIDAL DEARTERIALISATION (THD)

2013 ◽  
pp. 76-82
Author(s):  
Van Lieu Nguyen ◽  
Doan Van Phu Nguyen ◽  
Thanh Phuc Nguyen
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Mucosal Prolapse ◽  
Safe Procedure ◽  
Average Hospital ◽  
Rectal Mucosal Prolapse ◽  
Internal Hemorrhoids ◽  
Grade Iii

Introduction: Since 2006 Transanal hemorrhoidal dearterialization (THD), as a Doppler - guided Minimally Invasive Therapeutic Approach to Hemorrhoids, has been widely applied in European countries, America owing to its remarkable advantages over other surgical procedures such as less postoperative pain, shorter length of hospital stay, absence of serious complications, sooner recovery after surgery. Therefore, it has been widely indicated and accepted by surgeons. In Hue, THD has been implemented since April 2013. So far, this procedure has been in more or less common use to treat grade III and IV internal hemorrhoids with or without rectal mucosal prolapse. Method: From April 2013 through September 2013, 79 patients with grade III and IV hemorrhoids with or without rectal mucosal prolapse were treated by means of THD. During the study, postoperative complications, pains, hospital stay and patient’s satisfaction were monitored. Systematic follow-up of patients after surgery were carried out regularly 1 month and 3 months after surgery. Results: With 79 patients with grade III and IV hemorrhoids with or without rectal mucosal prolapse treated with THD, the following results were obtained: (i) THD was performed on 48 (60.8%) male patients, 31 (39.2%) female patients, mean age of 48.7±22.5 years; the youngest 18 and oldest 81 years old; (ii) Average hospital stay was 2.12 ± 1.25 days, the shortest stay 1 day and the longest 5 days. No surgical complications was reported. No serious postoperative complications was reported; (iii) Postoperative pains were found mild in 65 patients (82.2%), moderate in 13 patients (16.5%), and severe in 1 patient (1.3%). No case of postoperative urinary retention was recorded; (iv) Follow-up 1 month after surgery: good results in 71 patients (94.6%) patients, satisfactory results in 4 patients (5.4%) patients; (v) Follow-up 3 months after surgery: good results in 40 (95.2%) patients, satisfactory results in 2 patients (4.8%). Conclusion: Our research shows that surgical treatment of hemorrhoids with THD proves to be a safe procedure, causing less postoperative pains, shorter hospital stay and sooner resumption of work. Key words: Hemorrhoid disease, transanal hemorrhoidal dearterialisation (THD).

scholarly journals Cap-assisted endoscopic sclerotherapy for internal hemorrhoids: technique protocol and study design for a multi-center randomized controlled trial

2020 ◽  
Vol 13 ◽  
pp. 263177452092563
Author(s):  
Xia Wu ◽  
Quan Wen ◽  
Bota Cui ◽  
Yafei Liu ◽  
Min Zhong ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Adverse Events ◽  
Controlled Trial ◽  
Interventional Therapy ◽  
Endoscopic Sclerotherapy ◽  
Endoscopic Injection ◽  
Five Dimensions ◽  
Injection Needle ◽  
Randomized Controlled ◽  
Internal Hemorrhoids

Background: Cap-assisted endoscopic sclerotherapy is a new interventional therapy for internal hemorrhoids and rectal prolapse under colonoscopy. The proper length of the endoscopic injection needle is the core for performing cap-assisted endoscopic sclerotherapy well with more benefits and less complications. However, no data are currently available to guide endoscopists to consider the length of injection needle before cap-assisted endoscopic sclerotherapy. This study is designed to evaluate the efficacy and safety of cap-assisted endoscopic sclerotherapy with long or short injection needle in the treatment of internal hemorrhoids. Methods: This is a nationwide multi-center, prospective, single-blind and randomized controlled trial. Patients with grade I-II internal hemorrhoids who have failed to conservative treatments and grade III internal hemorrhoids who are not suitable for surgery or refuse surgery will be included. Participants will be randomized 1:1 into either long or short injection needle group. The primary outcome is the recurrence rate of internal hemorrhoids 24 weeks after cap-assisted endoscopic sclerotherapy. The secondary outcomes are as follows: (1) symptom severity score, (2) three-level EuroQoL five dimensions health scale scores, (3) occurrence of adverse events and severe adverse events, and (4) patients’ attitudes toward cap-assisted endoscopic sclerotherapy. Data collection will be conducted before and during operation, the 1st day, 1st week, 2nd week, and 24th week after cap-assisted endoscopic sclerotherapy. Discussion: The outcome of this study is expected to provide a practical clinical protocol of cap-assisted endoscopic sclerotherapy for patients with internal hemorrhoids and promote the use of this new endoscopic technique. Trial registration: ClinicalTrials.gov, NCT03917056. Registered on 12 April 2019.

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