Prospective evaluation of the hemorrhoid energy treatment for the management of bleeding internal hemorrhoids  

作　　者：Truptesh H Kothari Krystle Bittner Shivangi Kothari Vivek Kaul 

机构地区：[1]Division of Gastroenterology and Hepatology,University of Rochester Medical Center,Rochester,NY 14642,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》2021年第8期329-335,共7页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：BACKGROUND The hemorrhoid energy treatment(HET)system is a non-surgical bipolar electrotherapy device,which has previously demonstrated efficacy in the management of bleeding Grade I and II internal hemorrhoids;however,data is limited.AIM To prospectively assess the safety and efficacy of the HET device.METHODS This was an IRB-approved prospective study of 73 patients with Grade I or II internal hemorrhoids who underwent HET from March 2016 to June 2019.Patient factors and procedural data were obtained.A post-procedure questionnaire was administered by telephone to all patients at 1-wk and 3-mo following HET to assess for improvement and/or resolution of rectal bleeding and adherence to a stool softener regimen.A chart review was performed to observe recurrent symptoms and durability of response.Statistical analyses were performed using SPSS software(IBM;SPSS Version 25.0).RESULTS Seventy-three patients underwent HET during the study period.Mean post-HET follow-up was 1.89 years.Complete resolution of bleeding was reported in 65%at 1 wk(n=48),with improvement in bleeding in 97.2%(n=71)of patients.At 3-mo,resolution and/or improvement in bleeding was reported in 90%(n=64)of patients.No procedure-related pain or adverse events were reported.CONCLUSION HET is well tolerated,safe and highly effective in the majority of our patients presenting with Grade I and II symptomatic internal hemorrhoids.

关 键 词：Internal hemorrhoids Bleeding hemorrhoids Painless bleeding MUCUS Constipation STRAINING 

分 类 号：R657.18[医药卫生—外科学]