Endoscopic hemorrhoidal ligation

Preliminary clinical experience

Eugene A Trowers, U. Ganga, R. Rizk, E. Ojo, D. Hodges

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Background: Endoscopic hemorrhoidal ligation may provide an alternative to surgical treatment of internal hemorrhoids. This study assessed the safety and efficacy of endoscopic elastic band ligation for bleeding internal hemorrhoids. Methods: Endoscopic hemorrhoid ligation was performed in 20 adult patients who had chronic rectal bleeding attributed to internal hemorrhoids. Elastic band ligation was accomplished using a ligating device attached to the end of a video endoscope. Repeat endoscopy was done 3 weeks after the initial procedure. Results: Seventy band ligations were performed during 23 separate sessions. Post-therapy endoscopy showed reduction of hemorrhoidal size by at least one grade in 19 of 20 patients (95%). Bleeding resolved in 19 of 20 patients (95%) in 5.4 months (mean) of follow-up; 18 of 20 (90%) required only one banding session. No major complications (perforation, secondary bleeding, deep ulceration) occurred in this small group. Conclusions: Preliminary data indicates that endoscopic hemorrhoidal ligation is a safe and effective technique for treating internal hemorrhoids. It holds promise as an important technique for successfully treating and possibly eradicating symptomatic internal hemorrhoids.

Original languageEnglish (US)
Pages (from-to)49-52
Number of pages4
JournalGastrointestinal Endoscopy
Volume48
Issue number1
DOIs
StatePublished - 1998
Externally publishedYes

Fingerprint

Hemorrhoids
Ligation
Hemorrhage
Endoscopy
Endoscopes
Safety
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Endoscopic hemorrhoidal ligation : Preliminary clinical experience. / Trowers, Eugene A; Ganga, U.; Rizk, R.; Ojo, E.; Hodges, D.

In: Gastrointestinal Endoscopy, Vol. 48, No. 1, 1998, p. 49-52.

Research output: Contribution to journalArticle

Trowers, Eugene A ; Ganga, U. ; Rizk, R. ; Ojo, E. ; Hodges, D. / Endoscopic hemorrhoidal ligation : Preliminary clinical experience. In: Gastrointestinal Endoscopy. 1998 ; Vol. 48, No. 1. pp. 49-52.
@article{f84cf4cd14ad4263920fc05480eeb173,
title = "Endoscopic hemorrhoidal ligation: Preliminary clinical experience",
abstract = "Background: Endoscopic hemorrhoidal ligation may provide an alternative to surgical treatment of internal hemorrhoids. This study assessed the safety and efficacy of endoscopic elastic band ligation for bleeding internal hemorrhoids. Methods: Endoscopic hemorrhoid ligation was performed in 20 adult patients who had chronic rectal bleeding attributed to internal hemorrhoids. Elastic band ligation was accomplished using a ligating device attached to the end of a video endoscope. Repeat endoscopy was done 3 weeks after the initial procedure. Results: Seventy band ligations were performed during 23 separate sessions. Post-therapy endoscopy showed reduction of hemorrhoidal size by at least one grade in 19 of 20 patients (95{\%}). Bleeding resolved in 19 of 20 patients (95{\%}) in 5.4 months (mean) of follow-up; 18 of 20 (90{\%}) required only one banding session. No major complications (perforation, secondary bleeding, deep ulceration) occurred in this small group. Conclusions: Preliminary data indicates that endoscopic hemorrhoidal ligation is a safe and effective technique for treating internal hemorrhoids. It holds promise as an important technique for successfully treating and possibly eradicating symptomatic internal hemorrhoids.",
author = "Trowers, {Eugene A} and U. Ganga and R. Rizk and E. Ojo and D. Hodges",
year = "1998",
doi = "10.1016/S0016-5107(98)70128-2",
language = "English (US)",
volume = "48",
pages = "49--52",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Endoscopic hemorrhoidal ligation

T2 - Preliminary clinical experience

AU - Trowers, Eugene A

AU - Ganga, U.

AU - Rizk, R.

AU - Ojo, E.

AU - Hodges, D.

PY - 1998

Y1 - 1998

N2 - Background: Endoscopic hemorrhoidal ligation may provide an alternative to surgical treatment of internal hemorrhoids. This study assessed the safety and efficacy of endoscopic elastic band ligation for bleeding internal hemorrhoids. Methods: Endoscopic hemorrhoid ligation was performed in 20 adult patients who had chronic rectal bleeding attributed to internal hemorrhoids. Elastic band ligation was accomplished using a ligating device attached to the end of a video endoscope. Repeat endoscopy was done 3 weeks after the initial procedure. Results: Seventy band ligations were performed during 23 separate sessions. Post-therapy endoscopy showed reduction of hemorrhoidal size by at least one grade in 19 of 20 patients (95%). Bleeding resolved in 19 of 20 patients (95%) in 5.4 months (mean) of follow-up; 18 of 20 (90%) required only one banding session. No major complications (perforation, secondary bleeding, deep ulceration) occurred in this small group. Conclusions: Preliminary data indicates that endoscopic hemorrhoidal ligation is a safe and effective technique for treating internal hemorrhoids. It holds promise as an important technique for successfully treating and possibly eradicating symptomatic internal hemorrhoids.

AB - Background: Endoscopic hemorrhoidal ligation may provide an alternative to surgical treatment of internal hemorrhoids. This study assessed the safety and efficacy of endoscopic elastic band ligation for bleeding internal hemorrhoids. Methods: Endoscopic hemorrhoid ligation was performed in 20 adult patients who had chronic rectal bleeding attributed to internal hemorrhoids. Elastic band ligation was accomplished using a ligating device attached to the end of a video endoscope. Repeat endoscopy was done 3 weeks after the initial procedure. Results: Seventy band ligations were performed during 23 separate sessions. Post-therapy endoscopy showed reduction of hemorrhoidal size by at least one grade in 19 of 20 patients (95%). Bleeding resolved in 19 of 20 patients (95%) in 5.4 months (mean) of follow-up; 18 of 20 (90%) required only one banding session. No major complications (perforation, secondary bleeding, deep ulceration) occurred in this small group. Conclusions: Preliminary data indicates that endoscopic hemorrhoidal ligation is a safe and effective technique for treating internal hemorrhoids. It holds promise as an important technique for successfully treating and possibly eradicating symptomatic internal hemorrhoids.

UR - http://www.scopus.com/inward/record.url?scp=0031815625&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031815625&partnerID=8YFLogxK

U2 - 10.1016/S0016-5107(98)70128-2

DO - 10.1016/S0016-5107(98)70128-2

M3 - Article

VL - 48

SP - 49

EP - 52

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 1

ER -