Management of haemorroids with endoscopic band ligation
Al-Azhar Medical Journal. 2009; 38 (4): 999-1006
in English
| IMEMR
| ID: emr-128703
ABSTRACT
To assess results of rubber band ligation in the management of hemorrhoids especially in patients with liver cirrhosis and portal hypertension; and incomplete mucosal prolapse. This study was conducted on 109 patients who were presented to the out-patient clinic and Endoscopy Unit of Kafer El-Shiekh Liver Researches Center; Outpatient Health Insurance Clinics in Kafer El-SheiKh, Damiaua and Mansourah; and Al-Azher university hospital [New Damiatta] in the period between January 2005 to June 2007. All patients were treated by the same group of surgeon. Successful results without complications were achieved in 96 cases [88.1%] in 18-months mean follow-up [range 8 to 24 months]. A total of 13 patients [11.9%] had complications which required no hospitalization. Pain in 5 cases [4.5%], rectal tenesmus in 3 cases [2.8%], and transient anal bleeding in 3 cases [2.8%], two cases of dysuria [1.8%]; were the most frequent complications. By using this safe and convenient treatment we can save hundreds of hospitalization days and thousands of sick-leave days per year. We conclude that this is a very simple technique, allowing excellent results with few complications. Also, RBL seems to be safe in patients with liver cirrhosis and portal hypertension
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Postoperative Complications
/
Follow-Up Studies
/
Treatment Outcome
/
Endoscopy
/
Ligation
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Al-Azhar Med. J.
Year:
2009
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