Objective: To evaluate the
safety and
efficacy of endoscopic super-hemorrhoidal banding (SHB) in the
treatment of internal
hemorrhoids with
prolapse .
Methods: From June 2019 to June 2020, a total of 112
patients with grade Ⅱ and Ⅲ internal
hemorrhoids underwent endoscopic SHB at People′s
Hospital of Qiandongnan Miao and Dong Autonomous Prefecture. The
efficacy of SHB, intraoperative and
postoperative complications associated with the operation and
patients ′
satisfaction were prospectively studied. The follow-up
time was over six months.
Results: A total of 112
patients received SHB for internal
hemorrhoids , 74
patients (66.1%) with grade Ⅱ
hemorrhoids and 38
patients (33.9%) with grade Ⅲ
hemorrhoids . The operations were successfully performed in all
patients . No anal
pain or
bleeding was reported during the operation. All
patients experienced various degrees of anal bulge after the operation, which lasted for 2-24 hours before spontaneous disappearance. Five
patients with grade Ⅲ internal
hemorrhoids showed
dysuria , which was relieved with local
heat on the
bladder . One
patient with grade Ⅲ internal
hemorrhoid had bloody stool on day 14. The
bleeding was stopped with another banding at the site of
bleeding ulcer . All
patients completed the follow-up. No
complications such as
bleeding ,
pain ,
infection or
stenosis occurred in one month after operation. Eighteen
patients with grade Ⅲ had partial
prolapse after operation without
bleeding or other symptoms. Six of them received additional SHB
treatment and
prolapse disappeared. No
postoperative complications occurred in the six months of follow-up in all
patients . The
satisfaction rate was 100.0% according to the
survey .
Conclusion: Endoscopic SHB is an effective, safe and simple
technique for internal
hemorrhoids with
prolapse .