Cap-assisted endoscopic sclerotherapy for hemorrhoids：Methods, feasibility and efficacy

• 作者: He, Zhi Huang, Guang-Ming Ji, Guo-Zhong Peng, Zhao-Yuan Xiang, Jie Xu, Li-Juan Zhang, Fa-Ming Zhang, Ting
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: SCLEROTHERAPY HEMORRHOIDS Cap-assistedendoscopic SCLEROTHERAPY COLONOSCOPY COLON Papillafibroma Hemorrhoidal disease
• 年，卷（期）: 2015,（19）
• 页码范围: 1334-1340
• 页数: 7页
• 分类号: R

摘要

AIM To evaluate the methodology, feasibility, safety andefficacy of a novel method called cap-assisted endoscopicsclerotherapy （CAES） for internal hemorrhoids.METHODS： A pilot study on CAES for grade Ⅰ to Ⅲinternal hemorrhoids was performed. Colon and terminalileum examination by colonoscopy was performed for allpatients before starting CAES. Polypectomy and excisionof anal papilla fibroma were performed if polyps or analpapilla fibroma were found and assessed to be suitable forresection under endoscopy. CAES was performed basedon the requirement of the cap, endoscope, disposableendoscopic long injection needle, enough insufflated airand sclerosing agent.RESULTS： A total of 30 patients with grade Ⅰ to Ⅲinternal hemorrhoids was included. The follow-up wasmore than four weeks. No bleeding was observed afterCAES. One （3.33%） patient claimed mild tenesmus within four days after CAES in that an endoscopist performedthis procedure for the first time. One hundred percentof patients were satisfied with this novel procedure,especially for those patients who underwent CAES inconjunction with polypectomy or excision of anal papillafibroma.CONCLUSION： CAES as a novel endoscopic sclerotherapyshould be a convenient, safe and effectiveflexible endoscopic therapy for internal hemorrhoids.