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Endoscopic monopolar coagulation of internal haemorrhoids: a surgeon's experience of the first 100 cases
Author(s) -
Loh W.L.,
Tan S.,
Ngooi M. S.,
Ong Z. K.,
Ngoi S. S.
Publication year - 2017
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.13576
Subject(s) - medicine , colonoscopy , surgery , nonsteroidal , colorectal cancer , cancer
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.