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Rubber band ligation of hemorrhoids - An Office Procedure

Author(s): Katerina Kotzampassi .

Journal: Annals of Gastroenterology
ISSN 1108-7471

Volume: 16;
Issue: 2;
Date: 2007;
Original page

SUMMARY Rubber band ligation [RBL] is one of the most popular nonsurgical procedures available for hemorrhoids. The aim of this study was to prospectively evaluate the effectiveness of RBL in respect to eradication percentages, post-procedure pain, and complications as well as the simplicity of the technique. Eighty-seven patients with 2nd and 3rd degree internal symptomatic hemorrhoids - denying surgical procedure - were enrolled in this study. Four patients stopped treatment after the 1st session; 24 patients required one banding session [3 bands]; 49 patients two sessions [mean 5.36 bands] and 14 patients three sessions [mean 6.78 bands]. Forty-two patients [rate 52.5%] experienced no pain at all; 25 patients [31.2%] slight pain and 13 [16.2%] moderate pain, needing analgesics. There were three complications, all managed conservatively: one bleeding, one thrombosis and one patient experienced severe rectal pain. After termination of the treatment, and for a one-year follow up, hemorrhoids remained reduced by at least one grade, in comparison with that of the initial assessment. We conclude that rubber band ligation is a safe and effective procedure, easy to perform, thus it is advised as an office-procedure for hemorrhoid treatment.

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