Results of sclerosing treatment of a hemorrhoids at patients with high surgical risk
Abstract
Aim of investigation. To estimate efficacy and safety of various variants of sclerosing treatment of hemorrhoids at patients with severe concomitant diseases.
Material and methods. At 13 patients with chronic hemorrhoids of 2–4 stages sclerosing treatment in combination to ultrasound cavitation, at 14 patients – sclerosing treatment without additional procedures was carried out.
Results. Good and satisfactory results of treatment (termination or essential decrease of frequency and intensity of bleedings, decrease of degree of prolapse of hemorrhoids) after a week and month in both groups were identical. In 12 months good result after sclerosing treatment in combination to ultrasound cavitation is ascertained in 58,3% of cases, in the other group – in 15,4% (p<0,05).
Conclusion. The best long-term results were obtained after application of sclerotherapy with ultrasound cavitation, allowing to liquidate completely or considerably decrease severity of basic signs of chronic hemorrhoids.
About the Authors
I. V. Kostarev
Государственный научный центр колопроктологии Росмедтехнологий
Russian Federation
Russian Federation
L. A. Blagodarny
Государственный научный центр колопроктологии Росмедтехнологий
Russian Federation
Russian Federation
S. A. Frolov
Государственный научный центр колопроктологии Росмедтехнологий
Russian Federation
Russian Federation
References
1. Воробьёв Г.И., Благодарный Л.А. Выбор метода лечения геморроя // Хирургия. – 1999. – № 8. – С. 50–55.
2. Воробьёв Г.И., Шелыгин Ю.А., Благодарный Л.А. Геморрой. – М., 2002. – 192 с.
3. Костарев И.В., Благодарный Л.А., Фролов С.А. Отдаленные результаты после различных вариантов склерозирующего лечения геморроя детергентами // Колопроктология. – 2008. – Т. 4, № 26. – С. 4–9.
4. El Nakeeb A.M., Fikry A.A., Omar W.H. et al. Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases // World J. Gastroenterol. – 2008. – Vol. 14, N 42. – P. 6525–6530.
5. Knoch H.G., Klug W., Melzer B. Treatment of hemorrhoids based on stages // Coloproctology. – 1991. – Vol. 8, N 6. – P. 364–370.
6. Nelson R.S., Ewing B.M., Ternent C. et al. Risk of late bleeding following hemorrhoidal banding in patients on antithrombotic prophylaxis // Am. J. Surg. – 2008. – Vol. 196, N 6. – P. 994–999.
7. Odelowo O.O., Mekasha G., Johnson M.A. Massive life-threatening lower gastrointestinal hemorrhage following hemorrhoidal rubber band ligation // J. Natl. Med. Assoc. – 2002. – Vol. 94, N 12. – P. 1089–1092.
8. Ricci M.P., Matos D., Saad S.S. Ligation and infrared photocoagulation for the outpatient treatment of disease // Acta Cir. Bras. – 2008. – Vol. 23, N 1. – P. 102– 106.
9. Solovyev O.L. et al. Application of CTAP for the benign anorectal disease: hemorrhoids sclerotherapy with ultrasound influence // Proktologia supplement. – 2006. – Vol. 1. – P. 82–83.
10. Walker A.J., Leicester R.J., Nicholls R.J. et al. A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of hemorrhoids // Int. J. Colorect. Dis. – 1990. – Vol. 5. – P. 113–116.
Review
For citations:
Kostarev I.V., Blagodarny L.A., Frolov S.A. Results of sclerosing treatment of a hemorrhoids at patients with high surgical risk. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2010;20(1):82-87. (In Russ.)
Views:
50
Email this article 
