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The Rubber band ligation of hemorrhoids: effectiveness proves in hemorrhoidal
pathology


F.Belabbes*, K.Benjouad,S . Oubaha,Z.Samlani,K.Krati
Page No. 56-60


Abstract

Hemorrhoidal pathology frequent reason for consultation. The ligature technique has
revolutionized its support.We report here the experience of our service concerning this therapeutic
method. Materials and Methods: This is a prospective and descriptive study over a period of 4
years. We have ligatured outpatient 100 patients with stage 2/3 internal hemorrhoids who are
symptomatic or have failed medical treatment. Results: Elastic ligation was performed in 100
patients. The average age was 54, with extremes ranging from 28 to 75 years, with a considerable
male predominance (sex ratio H / F 2.9) Subjects with heavy bleeding, deep anemic syndrome and /
or> 40 years of age underwent total colonoscopy. 60 of our patients had stage 2 internal
hemorrhoids, versus 40 with stage 3 hemorrhoids. The average number of sessions required was 3.5
[2-6]. The average number of rings per session was 2.3 rings (1 - 3). Complications identified were:
vagal discomfort in two patients,tolerable and transient pain in 19 patients, minimal rectorrhages
in 15 patients. Minimal rectorrhagia was reported in one case on the fifth day of the escarare
ligation, and motivated the prescription of anti-haemorrhoidal topicals.No major complications
requiring hospitalization.The short-term therapeutic success rate was 89%. With a mean follow-up
of 18 months, the recurrence was 11%, 5 received a new instrumental treatment and 4 were
proposed for surgery Conclusion: The elastic ligation of hemorrhoids is a simple endoscopic
technique practiced by almost all endoscopists, easily achievable and reproducible,
Keywords : internal hemorrhoid, elastic ligature, colonoscopy


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