Management of haemorroids with endoscopic band ligation

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