HEMORRHOIDAL ENDOSCOPIC BAND LIGATION

PRESENT PATTERN AND MANAGEMENT OUTCOME AT ISRA UNIVERSITY HOSPITAL

Abstract

Objective: To determine the management outcome of the endoscopic band
ligation in the patients with internal haemorrhoids at isra university Hospital Hyderabad Sindh.
Pakistan. Materials and methods: All the patients were under went sigmoidoscopy and
colonoscopy for the complete diagnosis and the patients were excluded, if polyps or evidence
of malignancy was found at colonoscopy. Haemorrhoids were sucked with the tip of endoscope
from the anal canal and elastic bands were applied. After first treatment session, patients were
asked to complete a questionnaire to evaluate the subjective satisfaction, which was classified
as poor, good and best. Patients who had with multiple haemorrhoids were recalled for the
ligation on remaining haemorrhoids after 2 weeks, if indicated. Results: Total 100 patients were
included in the study, In complications, intensive pain was found in the 55% of the cases while
other complications were seen in very few patients and many patients were seen without any
complication. Hospital stay was only one day was noted in the very few patients and mostly
patients were discharged after few hours of the procedure. Outcome of the endoscopic band
ligation was found excellent in 40% of the cases, good results found in the 45% of the cases and
poor results were seen only in the 15% of the cases. Re-endoscopic band ligation was done
in the 20% of the cases and recurrence of hemorrhoids was noted in the 30% of the cases.
Conclusions: We concluded that the endoscopic band ligation is very good management for
haemorrhoids without typical complications, with very short hospital stay and recurrences rate.