+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Combined colonoscopy and three-quadrant hemorrhoidal ligation: 500 consecutive cases

, : Combined colonoscopy and three-quadrant hemorrhoidal ligation: 500 consecutive cases. Diseases of the Colon and Rectum 50(9): 1445-1449

This study was designed to evaluate the safety and efficacy of combining outpatient colonoscopy with simultaneous three-quadrant hemorrhoidal ligation in patients with symptomatic internal hemorrhoidal disease. A four-year analysis of patients undergoing combined colonoscopy and synchronous three-quadrant hemorrhoidal ligation was performed. Indications for the procedure were patients with symptomatic internal hemorrhoids who had failed conservative management and who also required colonoscopy. Conventional colonoscopy was performed under moderate sedation, immediately followed by synchronous three-quadrant hemorrhoidal ligation, using a TriView anoscope and Short-Shot hemorrhoidal ligator. Patients undergoing this procedure were entered in a computer database, and outcomes were tracked. Patients requiring repeat ligation, surgical intervention, or readmission within 30 days were identified and further analyzed. Five hundred patients underwent colonoscopy with simultaneous three-quadrant internal hemorrhoid ligation during the study period. Four hundred sixty-seven patients (93.4 percent) had complete resolution of their symptoms and required no further treatment. Thirty-three patients (6.6 percent) required repeat ligation, and 11 (2.2 percent) required completion surgical hemorrhoidectomy for persistent symptoms. Fifty-two patients (10.4 percent) required incidental biopsy/polypectomy during the colonoscopy. Two incidental colon carcinomas were identified, and ligation was deferred. No patients required admission for bleeding after the procedure. There were no cases of pelvic sepsis, and no patients required emergent surgical intervention. Combining colonoscopy with three-quadrant hemorrhoidal ligation is a safe and effective method of treating symptomatic internal hemorrhoids. The procedure is convenient for both physician and patient and makes more efficient use of time and resources.


PMID: 17665261

DOI: 10.1007/s10350-007-0273-y

Other references

Dettmer, S.; Theile, D.; Schäfer, J.; Seckinger, A.; Burhenne, Jürgen.; Weiss, J., 2016: Proteasome inhibition correlates with intracellular bortezomib concentrations but not with antiproliferative effects after bolus treatment in myeloma cell lines. Although bortezomib is successfully used against multiple myeloma, the pharmacodynamics of proteasome inhibition and its association with efficacy or resistance is poorly understood. Using ultra performance liquid chromatography coupled to tandem...

Ward, J.W.; Hanson, D.L.; Chu, S.Y.; Jones, J.J., 1995: Survival and trends in anti-retroviral therapy and anti-microbial prophylaxis among persons with 1993-defined AIDS. Abstracts of the Interscience Conference on Antimicrobial Agents & Chemotherapy 35(0): 235

Gambelli, F.; Di, P.; Niu, X.; Friedman, M.; Hammond, T.; Riches, D.W.H.; Ortiz, L.A., 2003: Phosphorylation of tumor necrosis factor receptor 1 (p55) protects macrophages from silica-induced apoptosis. Macrophages play a fundamental role in silicosis in part by removing silica particles and producing inflammatory mediators in response to silica. Tumor necrosis factor alpha (TNFalpha) is a prominent mediator in silicosis. Silica induction of apop...

Ballester, L.; Gil, A.M.; Gutiérrez, A.; Perpiñán, M.Felisa.; Azcondo, M.Teresa.; Sánchez, A.E.; Marzin, C.; Tarrago, G.; Bellitto, C., 2002: Supramolecular architecture and magnetic properties of copper(II) and nickel(II) porphyrinogen-TCNQ electron-transfer salts. The compounds [Cu(Tz)-(MeOH)2](TCNQ)2 (1), [Ni(Tz)-(MeOH)2](TCNQ)2 (2), [Cu(Tz)2]-(TCNQ)7 (3) and [Ni(Tz)2](TCNQ)7 (4) (Tz = 2,7,12,17-tetramethyl-1,6,11,16-tetraazaporphyrinogen) were obtained by metathesis reaction of [M(Tz)](ClO4)2 with LiTCNQ...

Shy, C.M., 1962: The pituitary-thyroid relationship in Graves' disease. Marquette Medical Review 27: 162-166

Levitt, N.; Briggs, D.; Gil, A.; Proudfoot, N.J., 1989: Definition of an efficient synthetic poly(A) site. We constructed and analyzed a synthetic poly(A) (SPA) site that was based on the highly efficient poly(A) signal of the rabbit beta-globin gene. By use of the SPA, we demonstrate that the minimum sequences required for efficient polyadenylation ar...

Hutin, C., 2002: The European cherry market. A growing demand and concurrent trends. A overview is given of the European cherry market with reference to the main world and European trends. The world's major growers and exporters are located in Europe, North America and the Middle East. The European Union has the greatest dema...

Hansen W., 1968: A controlled examination of anti coagulation treatment in deep venous thrombosis and pulmonary embolism. Nordisk Medicin: 1305-1306

Steinbach, J., 1986: Evaluation of the performance potential of indigenous and imported goats in Northern Tunisia. Data on fertility, growth of offspring, milk production of dam and economic aspects were analysed in a comparison of the performance of local Tunisian goats with that of imported Boer, Alpine, Saanen and Poitou goats and of the crossbred progeny o...

Lee, E-Ju.; Sim, J-Yeon.; Park, J-Yeon.; Hwang, J-Hyun.; Park, P-Hwan.; Han, S-Min., 2002: Intrathecal carbachol and clonidine produce a synergistic antiallodynic effect in rats with a nerve ligation injury. Purpose: Antiallodynic effects have been demonstrated after intrathecal administration of alpha-2 adrenoceptor agonists and cholinesterase inhibitors in rats. Intrathecal carbachol also increases the activity of cholinergic receptor system at the...