Endoscopic monopolar coagulation of internal haemorrhoids: a surgeon's experience of the first 100 cases

Aim The purpose of this study was to evaluate one surgeon's initial experience with a novel technique of retroflexed endoscopic coagulation of internal haemorrhoids. Method Patients who presented with symptoms and signs indicating Grade II–III haemorrhoids were counselled before the procedure....

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Bibliographic Details
Published in:Colorectal disease 2017-01, Vol.19 (1), p.O86-O89
Main Authors: Loh, W.‐L., Tan, S., Ngooi, M. S., Ong, Z. K., Ngoi, S. S.
Format: Article
Language:English
Subjects:
Adult
Aged
Anti-inflammatory agents
Antibiotics
Bleeding
Clinical trials
Coagulation
Colon
Colon - surgery
Colonoscopy
Colonoscopy - methods
Complications
Electrocoagulation - methods
Endoscopy
Female
Follow-Up Studies
Gastrointestinal Hemorrhage - epidemiology
Gastrointestinal Hemorrhage - etiology
Haemorrhoids
Hemorrhoids
Hemorrhoids - surgery
Humans
Inflammation
Laxatives
Male
Middle Aged
Pain
Pain, Postoperative - epidemiology
Pain, Postoperative - etiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Rectum - surgery
Recurrence
retroflexed
Surgeons
Treatment Outcome
Young Adult
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Summary:Aim The purpose of this study was to evaluate one surgeon's initial experience with a novel technique of retroflexed endoscopic coagulation of internal haemorrhoids. Method Patients who presented with symptoms and signs indicating Grade II–III haemorrhoids were counselled before the procedure. Those who were assessed to require an examination of their colon, based on their age and symptoms, underwent a full colonoscopy before treatment of the haemorrhoids. After the procedure, patients were routinely prescribed nonsteroidal anti‐inflammatory drugs, antibiotics and laxatives. Results The first 100 patients of median age 52.0 (20.8–78.5) years included 65 (65%) women. Five (5%) patients suffered from postprocedural complications, of which three (3%) were postprocedural bleeding and two (2%) were postprocedural pain, all treated conservatively. The recurrence rate was 6% at a median follow‐up time of 36 (6–76) months. The median duration of follow‐up was 36.5 (8.5–57.0) months. Conclusion This novel technique appears to be safe and effective for the treatment of Grade II–III internal haemorrhoids, and can be incorporated seamlessly into the end of a colonoscopy for the evaluation of haematochezia. Comparative trials should be performed.
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.13576