Endoscopic polidocanol foam sclerobanding for treatment of internal hemorrhoids:A novel outpatient procedure  

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作  者:An-Na Mou Yu-Ting Wang 

机构地区:[1]Department of Radiology,Sichuan Provincial People’s Hospital,University of Electronic Science and Technology of China,Chengdu 610072,Sichuan Province,China

出  处:《World Journal of Gastroenterology》2024年第42期4583-4586,共4页世界胃肠病学杂志(英文)

摘  要:In the study,we comment on the article by Qu et al.Internal hemorrhoids are the most common anorectal disorders worldwide with bleeding,prolapse,and difficulty in defecation.Endoscopic rubber band ligation(ERBL)is a safe,convenient,quick,and economical outpatient procedure.The main goal of ERBL is to alleviate prolapse,but the high incidence of recurrence and post-procedural pain are of clinical concern.Polidocanol foam as a local hemostatic and anesthetic agent could reduce the rates of post-procedural pain and bleeding.Endoscopic polidocanol foam sclerobanding(EFSB)is a novel approach that could lift the mucosa for easy ligation and promote increased scarring in the submucosal tissue which translates into long-term relief from prolapse recurrence and reduced 24-h postprocedural pain.The study by Qu et al is a novel multi-center prospective randomized study to compare ERBL and EFSB in patients with grades II and III internal hemorrhoids with one-year follow-up.Results showed that EFSB is a novel therapy for internal hemorrhoids,but future studies with a larger sample,multiple treatment sessions,and long-term follow-up are required to confirm these findings.

关 键 词:Internal hemorrhoids Goligher classification Rubber band ligation SCLEROTHERAPY Polidocanol foam 

分 类 号:R657.18[医药卫生—外科学]

 

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