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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases
World Journal of Gastroenterology, Volume 14, No. 42, Year 2008
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Description
Aim: To study the results for the treatment of symptomatic hemorrhoids using rubber band ligation (RBL) method. Methods: A retrospective study for 750 patients who came to the colorectal unit from June, 1998 to September, 2006, data was retrieved from archived files. RBL was performed using the Mc Gown applicator on an outpatient basis. The patients were asked to return to out-patient clinic for follow up at 2 wk, 1 mo, 6 mo and through telephone call every 6 mo for 2 years). Results: After RBL, 696 patients (92.8%) were cured with no difference in outcome for second or third degree hemorrhoids (P = 0.31). Symptomatic recurrence was detected in 11.04% after 2 years. A total of 52 patients (6.93%) had 77 complications from RBL which required no hospitalization. Complications were pain, rectal bleeding and vaso-vagal symptoms (4.13%, 4.13% and 1.33% of patients, respectively). At 1 mo there were a significant improvement in mean SF-36 scores over baseline in five items, while after 2 years there were improvement in all items over baseline, but not significant. No significant manometeric changes after band ligation. Conclusion: RBL is a simple, safe and effective method for treating symptomatic second and third degree hemorrhoids as an out patient procedure with significant improvement in quality of life. RBL doesn't alter ano-rectal functions. © 2008 The WJG Press. All rights reserved.
Authors & Co-Authors
El Nakeeb, Ayman M.
Egypt, Mansoura
Faculty of Medicine
Fikry, Amir
Egypt, Mansoura
Faculty of Medicine
Omar, Waleed H.
Egypt, Mansoura
Faculty of Medicine
Fouda, El Yamani
Egypt, Mansoura
Faculty of Medicine
El Metwally, Tito A.
Egypt, Mansoura
Faculty of Medicine
Elbanna, Hosam Ghazy
Egypt, Mansoura
Faculty of Medicine
Badr, Sabry A.
Egypt, Mansoura
Faculty of Medicine
Abu Elkhar, Mohmed Y.
Egypt, Mansoura
Faculty of Medicine
Elawady, Salih M.
Egypt, Mansoura
Faculty of Medicine
Abd Elmoniam, Hisham H.
Egypt, Mansoura
Faculty of Medicine
Khafagy, Wael W.
Egypt, Mansoura
Faculty of Medicine
Morshed, Mosaad M.
Egypt, Mansoura
Faculty of Medicine
El Lithy, Ramadan E.
Egypt, Mansoura
Faculty of Medicine
Farid, Mohamed E.
Egypt, Mansoura
Faculty of Medicine
Statistics
Citations: 90
Authors: 14
Affiliations: 1
Identifiers
Doi:
10.3748/wjg.14.6525
ISSN:
10079327
Research Areas
Disability
Health System And Policy
Study Design
Cohort Study