ISSN: 1859 - 2872
Treatment outcomes of endoscopic rubber band ligation for internal hemorrhoids
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Abstract
Objective: To investigate the characteristics and treatment outcomes of endoscopic rubber band ligation in the treatment of internal hemorrhoids. Subject and method: We recruited patients diagnosed with internal hemorrhoids grade II-III or grade I with hematochezia. We recorded clinical symptoms, quality of life (evaluated by the EQ-5D-5L questionnaire), and treatment outcomes immediately after ligation and after 6 - 8 weeks. Result: 131 patients were recruited, 58.7% were male and 55.7% were from 40 - 59 years old. The proportions of patients with grade I, II and III hemorrhoids were 20.6%, 56.5%, and 22.9%, respectively. The most common clinical symptoms included repeated hematochezia (73.3%) and mucosal prolapse (79.4%). 92.4% required one procedure, the mean number of rubber bands were 5.21 ± 0.99. Patients reported moderate pain after ligation (the mean VAS score: 4.61 ± 2.43), the mean time to pain resolution was 45.2 ± 28.8 minutes. After 6 - 8 weeks, hemorrhoids-related symptoms significantly decreased and the quality of life significantly improved. Conclusion: Endoscopic rubber band ligation is an effective procedure for internal hemorrhoids. Patients responded well to treatment.
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References
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