Sclerotherapy for hemorrhoidal disease: Recent evolutions of an oldies goldy

doi:10.3748/wjg.v31.i8.98704

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Feb 28, 2025 (publication date) through Jan 27, 2025

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Feb 28, 2025; 31(8): 98704
Published online Feb 28, 2025. doi: 10.3748/wjg.v31.i8.98704

Sclerotherapy for hemorrhoidal disease: Recent evolutions of an oldies goldy

Gianpiero Gravante

Gianpiero Gravante, Department of General Surgery, Azienda Sanitaria Locale (ASL) Lecce, Casarano 73042, Lecce, Italy

Author contributions: Gravante G conceived, wrote and edited the article, and approved the final version.

Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Gianpiero Gravante, MD, PhD, Department of General Surgery, Azienda Sanitaria Locale (ASL) Lecce, Ospedale “Francesco Ferrari”, Viale Francesco Ferrari 1, Casarano 73042, Lecce, Italy. ggravante@hotmail.com

Received: July 3, 2024
Revised: December 19, 2024
Accepted: December 30, 2024
Published online: February 28, 2025
Processing time: 203 Days and 19.6 Hours

Core Tip

Core Tip: Sclerotherapy is living a new golden age due to the use of safer and more effective solutions. Polidocanol foam has achieved positive results even in peculiar settings such as bleeding patients or as a bridge treatment while waiting for definitive surgery. Endoscopic Polidocanol foam sclerobanding allows the precise application of banding and injection of the drug via direct visualization during endoscopy. Results are superior to rubber band ligation and the technique is a promising, practical, cost-effective approach for low-grades hemorrhoids.