Rationale,new anus positioning methods,and updated protocols:Expert recommendations on cap-assisted endoscopic sclerotherapy for hemorrhoids from China Gut Conference  

作　　者：Fa-Ming Zhang Kai-Chun Wu Jing-Nan Li Xin Wang Xing-Xiang He Rong Wan Shi-Yao Chen CAES-LPRA Study Group 

机构地区：[1]Medical Center for Digestive Diseases,The Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210011,China [2]National Clinical Research Center for Digestive Diseases,Xijing Hospital,Fourth Military Medical University,Xi’an,Shaanxi 710032,China [3]Department of Gastroenterology,Peking Union Medical College Hospital,Beijing 100730,China [4]Department of Gastroenterology,The First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou,Guangdong 510080,China [5]Department of Gastroenterology,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 201620,China [6]Department of Gastroenterology and Hepatology,Zhongshan Hospital,Fudan University,Shanghai 200032,China. [7]不详

出　　处：《Chinese Medical Journal》2021年第22期2675-2677,共3页中华医学杂志（英文版）

基　　金：the Nanjing Medical University Fan Daiming Research Funds for Holistic Integrative Medicine.;the Tianyu Pharmaceutical Co.,Ltd and China Gut Conference for the meeting.

摘　　要：Injection sclerotherapy is most effective for internal hemorrhoids,especially for patients with bleeding.Howev-er,traditional sclerotherapy via anoscope may cause iatrogenic risk and complications due to misplaced injections.[1]The flexible endoscopic sclerotherapy for internal hemorrhoids using a short needle without cap assistant was first reported in 1991 in the United States.[2]The flexible endoscopic injection using a short needle with cap assistant was reported in 2014 in Japan.[3]Cap-assisted endoscopic sclerotherapy(CAES)primarily using a long needle was reported in 2015[4]as an emerging flexible endoscopic therapy,and has been widely used for internal hemorrhoids and some prolapse in China.A panel of experts aimed to develop expert recommendations for CAES and derived guidelines on the key issues in hemorrhoidal disease,including rationale,new positioning methods for anus,indications,contraindications,techniques,post-procedure management,and core outcome set for evaluation[Figure 1].

关 键 词：NEEDLE HEMORRHOIDS RATIONAL 

分 类 号：R657.18[医药卫生—外科学]