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A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trial.
Colorectal Dis. 2003 Mar; 5(2):133-8.CD

Abstract

OBJECTIVE

To compare simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately for the treatment of 2nd degree haemorrhoids.

PATIENTS AND METHODS

Between 1993 and 1996, 255 patients that suffered from 2nd degree haemorrhoids were divided into 3 groups of 85 patients, each to receive either simultaneous sclerotherapy for smaller and rubber band ligation for larger piles (SCL/RBL) in one session, or sclerotherapy (SCL), or rubber band ligation (RBL), respectively. After a period of 4 years all patients were examined and their symptoms were recorded.

RESULTS

The patients of the SCL group developed significantly fewer complications after treatment compared to the other two methods (P < 0.001), which did not differ from each other. After the SCL/RBL treatment, significantly more patients were symptom free (46%) than after SCL (8%), P < 0.001. There was no significant difference between the SCL/RBL (46%) and the RBL (31%) groups (P = 0.217), although the combined treatment seemed to be more effective than rubber band ligation. Only 10% of the patients of the SCL/RBL group needed additional sessions 6-24 months after the initial treatment compared to 30% of the patients of the SCL group (P = 0.001). However, there was no significant difference between SCL/RBL and RBL (17%) groups (P = 0.151).

CONCLUSION

The combination of sclerotherapy and rubber band ligation for treatment of 2nd degree haemorrhoids is significantly more efficient than sclerotherapy on its own.

Authors+Show Affiliations

4th Department of Surgery, Aristotle University of Thessaloniki, Antheon 1, GR 55236, Panorama, Thessaloniki, Greece. ik@hol.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12780901

Citation

Kanellos, I, et al. "A Comparison of the Simultaneous Application of Sclerotherapy and Rubber Band Ligation, With Sclerotherapy and Rubber Band Ligation Applied Separately, for the Treatment of Haemorrhoids: a Prospective Randomized Trial." Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, vol. 5, no. 2, 2003, pp. 133-8.
Kanellos I, Goulimaris I, Christoforidis E, et al. A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trial. Colorectal Dis. 2003;5(2):133-8.
Kanellos, I., Goulimaris, I., Christoforidis, E., Kelpis, T., & Betsis, D. (2003). A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trial. Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, 5(2), 133-8.
Kanellos I, et al. A Comparison of the Simultaneous Application of Sclerotherapy and Rubber Band Ligation, With Sclerotherapy and Rubber Band Ligation Applied Separately, for the Treatment of Haemorrhoids: a Prospective Randomized Trial. Colorectal Dis. 2003;5(2):133-8. PubMed PMID: 12780901.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of the simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately, for the treatment of haemorrhoids: a prospective randomized trial. AU - Kanellos,I, AU - Goulimaris,I, AU - Christoforidis,E, AU - Kelpis,T, AU - Betsis,D, PY - 2003/6/5/pubmed PY - 2003/8/9/medline PY - 2003/6/5/entrez SP - 133 EP - 8 JF - Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland JO - Colorectal Dis VL - 5 IS - 2 N2 - OBJECTIVE: To compare simultaneous application of sclerotherapy and rubber band ligation, with sclerotherapy and rubber band ligation applied separately for the treatment of 2nd degree haemorrhoids. PATIENTS AND METHODS: Between 1993 and 1996, 255 patients that suffered from 2nd degree haemorrhoids were divided into 3 groups of 85 patients, each to receive either simultaneous sclerotherapy for smaller and rubber band ligation for larger piles (SCL/RBL) in one session, or sclerotherapy (SCL), or rubber band ligation (RBL), respectively. After a period of 4 years all patients were examined and their symptoms were recorded. RESULTS: The patients of the SCL group developed significantly fewer complications after treatment compared to the other two methods (P < 0.001), which did not differ from each other. After the SCL/RBL treatment, significantly more patients were symptom free (46%) than after SCL (8%), P < 0.001. There was no significant difference between the SCL/RBL (46%) and the RBL (31%) groups (P = 0.217), although the combined treatment seemed to be more effective than rubber band ligation. Only 10% of the patients of the SCL/RBL group needed additional sessions 6-24 months after the initial treatment compared to 30% of the patients of the SCL group (P = 0.001). However, there was no significant difference between SCL/RBL and RBL (17%) groups (P = 0.151). CONCLUSION: The combination of sclerotherapy and rubber band ligation for treatment of 2nd degree haemorrhoids is significantly more efficient than sclerotherapy on its own. SN - 1462-8910 UR - https://www.unboundmedicine.com/medline/citation/12780901/A_comparison_of_the_simultaneous_application_of_sclerotherapy_and_rubber_band_ligation_with_sclerotherapy_and_rubber_band_ligation_applied_separately_for_the_treatment_of_haemorrhoids:_a_prospective_randomized_trial_ L2 - https://doi.org/10.1046/j.1463-1318.2003.00395.x DB - PRIME DP - Unbound Medicine ER -