Tags

Type your tag names separated by a space and hit enter

Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids.
Br Med J. 1979 Oct 20; 2(6196):967-9.BM

Abstract

Two hundred and sixteen consecutive patients seen for the first time with symptomatic haemorrhoids entered trials of conservative and minor surgical treatment. They were divided into two groups according to their pretreatment maximal anal pressure. Patients with pressures of 100 cm H2O (73.7 mm Hg) or more (108 patients) were treated by anal dilatation (37), sphincterotomy (34), or high-fibre diet (37). Four and 12 months later anal dilatation had produced significantly better results than sphincterotomy or diet. Furthermore, anal dilatation was the only treatment associated with a significant reduction in anal pressure at four and 12 months. Patients with pressures under 100 cm H2O (108 patients) were treated by rubber-band ligation (35), cryosurgery (36), or diet (37). Four and 12 months later significantly more patients were improved by rubber-band ligation than by cryosurgery or diet. These results suggest that haemorrhoids in patients with excessive activity of the internal anal sphincter are best treated by anal dilatation and that in all other patients rubber-band ligation is the treatment of choice.

Authors

No affiliation info availableNo 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

389346

Citation

Keighley, M R., et al. "Prospective Trials of Minor Surgical Procedures and High-fibre Diet for Haemorrhoids." British Medical Journal, vol. 2, no. 6196, 1979, pp. 967-9.
Keighley MR, Buchmann P, Minervini S, et al. Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids. Br Med J. 1979;2(6196):967-9.
Keighley, M. R., Buchmann, P., Minervini, S., Arabi, Y., & Alexander-Williams, J. (1979). Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids. British Medical Journal, 2(6196), 967-9.
Keighley MR, et al. Prospective Trials of Minor Surgical Procedures and High-fibre Diet for Haemorrhoids. Br Med J. 1979 Oct 20;2(6196):967-9. PubMed PMID: 389346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective trials of minor surgical procedures and high-fibre diet for haemorrhoids. AU - Keighley,M R, AU - Buchmann,P, AU - Minervini,S, AU - Arabi,Y, AU - Alexander-Williams,J, PY - 1979/10/20/pubmed PY - 1979/10/20/medline PY - 1979/10/20/entrez SP - 967 EP - 9 JF - British medical journal JO - Br Med J VL - 2 IS - 6196 N2 - Two hundred and sixteen consecutive patients seen for the first time with symptomatic haemorrhoids entered trials of conservative and minor surgical treatment. They were divided into two groups according to their pretreatment maximal anal pressure. Patients with pressures of 100 cm H2O (73.7 mm Hg) or more (108 patients) were treated by anal dilatation (37), sphincterotomy (34), or high-fibre diet (37). Four and 12 months later anal dilatation had produced significantly better results than sphincterotomy or diet. Furthermore, anal dilatation was the only treatment associated with a significant reduction in anal pressure at four and 12 months. Patients with pressures under 100 cm H2O (108 patients) were treated by rubber-band ligation (35), cryosurgery (36), or diet (37). Four and 12 months later significantly more patients were improved by rubber-band ligation than by cryosurgery or diet. These results suggest that haemorrhoids in patients with excessive activity of the internal anal sphincter are best treated by anal dilatation and that in all other patients rubber-band ligation is the treatment of choice. SN - 0007-1447 UR - https://www.unboundmedicine.com/medline/citation/389346/Prospective_trials_of_minor_surgical_procedures_and_high_fibre_diet_for_haemorrhoids_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/389346/ DB - PRIME DP - Unbound Medicine ER -