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internal hemorrhoids treatment

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https://www.readbyqxmd.com/read/28722093/-a-multicenter-randomized-controlled-trial-of-wheat-cellulose-particles-in-the-treatment-of-internal-hemorrhoids
#1
Yunhua Peng, Wei Yang, Yehuang Wang, Xiaohua Fan, Xueping Zheng, Juanjuan Gai
OBJECTIVE: To evaluate the efficacy and safety of wheat cellulose particles (testa triticum tricum purify, Fiberform) in the treatment of internal hemorrhoid. METHODS: A multicenter randomized controlled clinical trial was adopted. From October 2015 to July 2016, 60 patients with internal hemorrhoid were enrolled from three medical centers, including Department of Anorectum, Shuguang Hospital of Shanghai University of Traditional Chinese Medicine, Department of Anorectum, The Third Affiliated Hospital of Nanjing University of Chinese Medicine, Department of Anorectum, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine...
July 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28664673/polyglycolic-acid-sheets-for-rectal-ulcer-caused-by-aluminum-potassium-sulfate-and-tannic-acid-sclerotherapy
#2
Ryotaro Nakahara, Hideaki Harada, Satoshi Suehiro
Aluminum potassium sulfate and tannic acid (ALTA) sclerotherapy is a minimally invasive treatment for internal hemorrhoids with few complications. However, it may occasionally induce complications such as rectal ulcer. The use of polyglycolic acid (PGA) sheets to seal hemorrhagic rectal ulcers is rare. We report the successful treatment of hemorrhagic rectal ulcer caused by ALTA sclerotherapy using PGA sheets. This article is protected by copyright. All rights reserved.
June 30, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28514383/-efficiency-of-combined-methods-of-hemorroid-treatment-using-hal-rar-and-laser-destruction
#3
G V Rodoman, L V Kornev, T I Shalaeva, R N Malushenko
AIM: To develop the combined method of treatment of hemorrhoids with arterial ligation under Doppler control and laser destruction of internal and external hemorrhoids. MATERIAL AND METHODS: The study included 100 patients with chronic hemorrhoids stage II and III. Combined method of HAL-laser was used in study group, HAL RAR-technique in control group 1 and closed hemorrhoidectomy with linear stapler in control group 2. Сomparative evaluation of results in both groups was performed...
2017: Khirurgiia
https://www.readbyqxmd.com/read/28501943/protocol-for-the-development-of-a-core-outcome-set-cos-for-hemorrhoidal-disease-an-international-delphi-study
#4
R R van Tol, J Melenhorst, C D Dirksen, L P S Stassen, S O Breukink
PURPOSE: Over the last decade, many studies were performed regarding treatment options for hemorrhoidal disease. Randomised controlled trials (RCTs) should have well-defined primary and secondary outcomes. However, the reported outcome measures are numerous and diverse. The heterogeneity of outcome definition in clinical trials limits transparency and paves the way for bias. The development of a core outcome set (COS) helps minimizing this problem. A COS is an agreed minimum set of outcomes that should be measured and reported in all clinical trials of a specific disease...
July 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28255493/treatment-of-complete-anal-stricture-after-diverting-colostomy-for-fournier-s-gangrene
#5
Kenji Okumura, Tadao Kubota, Kazuhiro Nishida, Alan Kawarai Lefor, Ken Mizokami
Background. Anal stenosis is a rare but serious complication of anorectal surgery. Severe anal stenosis is a challenging condition. Case Presentation. A 70-year-old Japanese man presented with a ten-hour history of continuous anal pain due to incarcerated hemorrhoids. He had a history of reducible internal hemorrhoids and was followed for 10 years. He had a fever and nonreducible internal hemorrhoids surrounding necrotic soft tissues. He was diagnosed as Fournier's gangrene and treated with debridement and diverting colostomy...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/27960130/is-the-severe-pain-after-milligan-morgan-hemorrhoidectomy-still-currently-remaining-a-major-postoperative-problem-despite-being-one-of-the-oldest-surgical-techniques-described-a-case-series-of-117-consecutive-patients
#6
Adrian Medina-Gallardo, Yuhamy Curbelo-Peña, Xavier De Castro, Pere Roura-Poch, Josep Roca-Closa, Enric De Caralt-Mestres
INTRODUCTION: Surgery is the only curative method of hemorrhoidal disease. Currently the Milligan-Morgan hemorrhoidectomy is still considered the "gold standard", since it is the best performing technique. However, postoperative pain remains a major problem. We analize the postoperative analgesic requirements for this procedure in 117 patients. PRESENTATION OF CASES: Between 2012 and 2013, 117 consecutive patients undergoing Milligan-Morgan hemorroidectomy, with an analysis of sex, age, total vascular anal cushions removed, hospital stay, complications, and relation with postoperative analgesic requirements...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27806213/a-randomized-controlled-trial-comparing-laser-intra-hemorrhoidal-coagulation-and-milligan-morgan-hemorrhoidectomy
#7
Mohammad Naderan, Saeed Shoar, Mohammad Nazari, Ahmed Elsayed, Habibollah Mahmoodzadeh, Zhamak Khorgami
PURPOSE: To compare laser intra-hemorrhoidal coagulation with Milligan-Morgan (MM) hemorrhoidectomy. METHOD: Patients with symptomatic grade II or III internal hemorrhoids according to the Goligher's classification (refractory to medical treatment) were enrolled in this double-blinded randomized controlled trial study. In the laser group, hemorrhoidal columns were coagulated using a 980-nanometer (nm) radial laser emitting fiber (three, 15-W pulses of 1.2 s each, with 0...
November 2, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27721924/rubber-band-ligation-of-hemorrhoids-a-guide-for-complications
#8
REVIEW
Andreia Albuquerque
Rubber band ligation is one of the most important, cost-effective and commonly used treatments for internal hemorrhoids. Different technical approaches were developed mainly to improve efficacy and safety. The technique can be employed using an endoscope with forward-view or retroflexion or without an endoscope, using a suction elastic band ligator or a forceps ligator. Single or multiple ligations can be performed in a single session. Local anaesthetic after ligation can also be used to reduce the post-procedure pain...
September 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27597728/safety-and-efficacy-of-superior-rectal-artery-embolization-with-particles-and-metallic-coils-for-the-treatment-of-hemorrhoids-emborrhoid-technique
#9
A Zakharchenko, Y Kaitoukov, Y Vinnik, F Tradi, M Sapoval, I Sielezneff, E Galkin, V Vidal
PURPOSE: The purpose of this study was to comprehensively evaluate the short-term outcomes after percutaneous embolization of the superior rectal artery (SRA) with metallic coils and particles for the management of hemorrhoids. MATERIALS AND METHODS: Forty patients (15 men, 25 women) with a mean age of 35±5 years (SD) (range: 25-65 years) were prospectively enrolled. All patients had symptomatic hemorrhoids. The distribution of internal hemorrhoids was as follows: grade I (n=6, 16%); grade II (n=28, 69%) and grade III (n=6; 15%)...
November 2016: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/27574343/rubber-band-ligation-for-hemorrhoids-an-office-experience
#10
Fahmi Omer Aram
The objective of this study was to analyze the effectiveness, safety, quality of life, and the results of the treatment for second- and third-degree hemorrhoids using rubber band ligation (RBL). This is a retrospective study for 890 patients who came to outpatient clinic from August 2007 to March 2013; all underwent rubber band ligation using the Barron applicator on an outpatient basis for second- and third-degree internal symptomatic hemorrhoids. Data were collected from the patients' files. The patients were asked to return to outpatient clinic for follow-up at 2 weeks and 1 and 6 months and by telephone call every 6 months for 2 years...
August 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27468181/anorectal-emergencies
#11
EDITORIAL
Varut Lohsiriwat
Anorectal emergencies refer to anorectal disorders presenting with some alarming symptoms such as acute anal pain and bleeding which might require an immediate management. This article deals with the diagnosis and management of common anorectal emergencies such as acutely thrombosed external hemorrhoid, thrombosed or strangulated internal hemorrhoid, bleeding hemorrhoid, bleeding anorectal varices, anal fissure, irreducible or strangulated rectal prolapse, anorectal abscess, perineal necrotizing fasciitis (Fournier gangrene), retained anorectal foreign bodies and obstructing rectal cancer...
July 14, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27448595/prospective-case-series-of-a-novel-minimally-invasive-bipolar-coagulation-system-in-the-treatment-of-grade-i-and-ii-internal-hemorrhoids
#12
Benjamin P Crawshaw, Andrew J Russ, Bridget O Ermlich, Conor P Delaney, Bradley J Champagne
Background Existing nonsurgical procedures for the treatment of grade I and II internal hemorrhoids are often painful, technically demanding, and often necessitate multiple applications. This study prospectively assessed the safety and efficacy of the HET Bipolar System, a novel minimally invasive device, in the treatment of symptomatic grade I and II internal hemorrhoids. Methods Patients with symptomatic grade I or II internal hemorrhoids despite medical management underwent hemorrhoidal ligation with the HET Bipolar System...
December 2016: Surgical Innovation
https://www.readbyqxmd.com/read/27212575/manual-reduction-in-acute-haemorrhoids
#13
F Gaj, L Candeloro, I Biviano
AIM: In prolapsed internal hemorrhoids exposed outside the anus, manually reducing the prolapse with 48 hours of commencement of anal pain, decreased the progression of thrombosis. The aim of our study was to evaluate the effects of manual reduction of the inflamed piles hemorrhoids. MATERIALS OF STUDY: Eleven patients, 7 males and 4 pregnant females (in early post partum) with an average age of 34 years ± 8 (range 23- 52) were enrolled with anal pain cause by haemorrhoidal congestion, but prior to full blown thrombosis...
March 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/27012056/anemia-due-to-inflammation-in-an-anti-coagulated-patient-with-blue-rubber-bleb-nevus-syndrome
#14
Aldo Bonaventura, Luca Liberale, Nadia Hussein El-Dib, Fabrizio Montecucco, Franco Dallegri
BACKGROUND: Blue rubber bleb nevus syndrome (BRBNS) is a rare disease characterized by vascular malformations mostly involving skin and gastrointestinal tract. This disease is often associated with sideropenic anemia and occult bleeding. METHODS: We report the case of chronic severe anemia in an old patient under oral anticoagulation treatment for chronic atrial fibrillation. RESULTS: At admission, the patient also presented fever and increased laboratory parameters of systemic inflammation (ferritin 308 mcg/L, C-reactive protein (CRP) 244 mg/L)...
2016: Clinical Laboratory
https://www.readbyqxmd.com/read/26977864/-comparison-of-doppler-assisted-dearterialization-with-mucopexy-and-hemorrhoidectomy
#15
RANDOMIZED CONTROLLED TRIAL
A Iu Titov, M V Abritsova, A A Mudrov
AIM: To compare two methods of hemorrhoid treatment. MATERIAL AND METHODS: This prospective study included 240 patients with hemorrhoids stage III-IVA. Stages III and IVA were diagnosed in 156 (65%) and 84 (35%) patients respectively. Randomization was performed using envelopes method in one to one distribution. In group 1 (n=120) Doppler-assisted dearterialization of internal hemorrhoids with mucopexy was performed (DDM), in group 2 (n=120) - hemorrhoidectomy using harmonic scalpel (HE)...
2016: Khirurgiia
https://www.readbyqxmd.com/read/26939212/acute-atherothrombotic-disease-and-severe-bleeding-a-difficult-clinical-presentation-in-medical-practice
#16
Cristina Căldăraru, C Popa, Ana Fruntelată, Ş Bălănescu
Management of antithrombotic therapy in elderly patients with unstable atherothrombotic disease and increased risk of bleeding is a major clinical challenge. We report the case of a 79 year- old diabetic man with rheumatoid arthritis on both oral corticosteroids and NSAID therapy with mild renal dysfunction, who presented to our hospital because of disabling claudication. Prior to admission he had several episodes of TIA. He also had recurrent small rectal bleeding and mild anemia attributed to his long-standing hemorrhoid disease...
October 2015: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
https://www.readbyqxmd.com/read/26883036/high-grade-hemorrhoids-requiring-surgical-treatment-are-common-after-laparoscopic-ventral-mesh-rectopexy
#17
J J van Iersel, H A Formijne Jonkers, P M Verheijen, W A Draaisma, E C J Consten, I A M J Broeders
PURPOSE: To describe patients developing grade III and IV hemorrhoids requiring surgery after laparoscopic ventral mesh rectopexy (LVMR) and to explore the relationship between developing such hemorrhoids and recurrence of rectal prolapse after LVMR. METHODS: All consecutive patients receiving LVMR at the Meander Medical Centre, Amersfoort, the Netherlands, between 2004 and 2013 were analyzed. Kaplan-Meier estimates were calculated for recurrences. RESULTS: A total of 420 patients underwent LVMR...
April 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/26879656/rectal-arterio-venous-malformation-avm-with-bleeding-of-an-internal-hemorrhoid
#18
Yusuke Komekami, Fumio Konishi, Kohzoh Makita, Toma Mijin, Atsushi Onogawa, Takeshi Chochi, Chunyong Lee, Takayoshi Yoshida, Tooru Maeda, Makoto Mitsusada, Shunji Hasegawa
A 38-year-old male with no past history of illnesses visited the out-patient clinic of Nerima Hikarigaoka Hospital complaining of dizziness and persistent anal bleeding. There was a significant anemia on a blood test and colonoscopy showed a thrombus in a markedly swollen internal hemorrhoid. Contrast-enhanced computed tomography (CT) showed a poorly demarcated area with early face enhancement on the right side of the rectum and anal canal. Based on these findings, an arterio-venous malformation (AVM) of the rectum was suspected...
February 2016: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/26547759/the-single-pile-classification-a-new-tool-for-the-classification-of-haemorrhoidal-disease-and-the-comparison-of-treatment-results
#19
COMPARATIVE STUDY
C Elbetti, I Giani, E Novelli, C Fucini, Jacopo Martellucci
The purpose of the paper is to compare Goligher Classification with the Single Pile Hemorrhoid Classification (SPHC) to show the possible bias and limits of Goligher's use and the possible advantage with the employment of the new classification. SPHC considers the number of pathological piles(N), the characteristics of each internal pile and the characteristics of each external pile, reporting the presence of a fibrous inelastic redundant pile(F), the presence of the subversion of dentate line or the congestion of the external pile(E) and the presence of not tolerated skin tags(S)...
December 2015: Updates in Surgery
https://www.readbyqxmd.com/read/26309351/treatment-of-hemorrhoids-a-coloproctologist-s-view
#20
REVIEW
Varut Lohsiriwat
Hemorrhoids is recognized as one of the most common medical conditions in general population. It is clinically characterized by painless rectal bleeding during defecation with or without prolapsing anal tissue. Generally, hemorrhoids can be divided into two types: internal hemorrhoid and external hemorrhoid. External hemorrhoid usually requires no specific treatment unless it becomes acutely thrombosed or causes patients discomfort. Meanwhile, low-graded internal hemorrhoids can be effectively treated with medication and non-operative measures (such as rubber band ligation and injection sclerotherapy)...
August 21, 2015: World Journal of Gastroenterology: WJG
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