Nakeeb AME, Fikry AA, Omar WH, Fouda EM, Metwally TAE, Ghazy HE, Badr SA, Elkhar MYA, Elawady SM, Elmoniam HHA, Khafagy WW, Morshed MM, Lithy REE, Farid ME. Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases. World J Gastroenterol 2008; 14(42): 6525-6530 [PMID: 19030206 DOI: 10.3748/wjg.14.6525]
Corresponding Author of This Article
Dr. Ayman M El Nakeeb, Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Mansoura 335111, Egypt. elnakeebayman@yahoo.com
Article-Type of This Article
Rapid Communication
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World J Gastroenterol. Nov 14, 2008; 14(42): 6525-6530 Published online Nov 14, 2008. doi: 10.3748/wjg.14.6525
Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases
Ayman M El Nakeeb, Amir A Fikry, Waleed H Omar, Elyamani M Fouda, Tito A El Metwally, Hosam E Ghazy, Sabry A Badr, Mohmed Y Abu Elkhar, Salih M Elawady, Hisham H Abd Elmoniam, Waiel W Khafagy, Mosaad M Morshed, Ramadan E El Lithy, Mohamed E Farid
Ayman M El Nakeeb, Amir A Fikry, Waleed H Omar, Elyamani M Fouda, Tito A El Metwally, Hosam E Ghazy, Sabry A Badr, Mohmed Y Abu Elkhar, Salih M Elawady, Hisham H Abd Elmoniam, Waiel W Khafagy, Mosaad M Morshed, Ramadan E El Lithy, Mohamed E Farid, Department of General Surgery, Colorectal unit, Mansoura University Hospital, Mansoura 335111, Egypt
Author contributions: El Nakeeb AM, Fikry AA contributed equally to this work; El Nakeeb AM, Omar WH, Fouda EM, El Metwally TA, Ghazy HE, Badr SA, Khafagy WW designed the research; El Nakeeb AM, Fikry AA, Abu Elkhar MY, Elawady SM, Abd Elmoniam HH, Khafagy WW, Morshed MM, El Lithy RE, Farid ME performed the research; El Nakeeb AM, Fikry AA, Omar WH, Fouda EM, El Metwally TA, Ghazy HE, Badr SA, Elawady SM contributed new reagents/analytic tools; El Nakeeb AM, Fikry AA, Elawady SM, Abd Elmoniam HH, Khafagy WW, Morshed MM, El Lithy RE, Farid ME analyzed the data; El Nakeeb AM, Fikry AA, Abu Elkhar MY, Farid ME wrote the paper.
Correspondence to: Dr. Ayman M El Nakeeb, Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Mansoura 335111, Egypt. elnakeebayman@yahoo.com
Telephone: +20-10-6752021 Fax: +20-50-2353430
Received: August 21, 2008 Revised: October 9, 2008 Accepted: October 16, 2008 Published online: November 14, 2008
Abstract
AIM: To study the results for the treatment of symptomatic hemorrhoids using rubber band ligation (RBL) method.
METHODS: A retrospective study for 750 patients who came to the colorectal unit from June, 1998 to September, 2006, data was retrieved from archived files. RBL was performed using the Mc Gown applicator on an outpatient basis. The patients were asked to return to out-patient clinic for follow up at 2 wk, 1 mo, 6 mo and through telephone call every 6 mo for 2 years).
RESULTS: After RBL, 696 patients (92.8%) were cured with no difference in outcome for second or third degree hemorrhoids (P = 0.31). Symptomatic recurrence was detected in 11.04% after 2 years. A total of 52 patients (6.93%) had 77 complications from RBL which required no hospitalization. Complications were pain, rectal bleeding and vaso-vagal symptoms (4.13%, 4.13% and 1.33% of patients, respectively). At 1 mo there were a significant improvement in mean SF-36 scores over baseline in five items, while after 2 years there were improvement in all items over baseline, but not significant. No significant manometric changes after band ligation.
CONCLUSION: RBL is a simple, safe and effective method for treating symptomatic second and third degree hemorrhoids as an out patient procedure with significant improvement in quality of life. RBL doesn’t alter ano-rectal functions.
