Prospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 16, 2021; 13(8): 329-335
Published online Aug 16, 2021. doi: 10.4253/wjge.v13.i8.329
Prospective evaluation of the hemorrhoid energy treatment for the management of bleeding internal hemorrhoids
Truptesh H Kothari, Krystle Bittner, Shivangi Kothari, Vivek Kaul
Truptesh H Kothari, Krystle Bittner, Shivangi Kothari, Vivek Kaul, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, NY 14642, United States
Author contributions: Kothari TH designed and conceptualized the study; Bittner K collected the data; Kothari TH, Bittner K, Kaul V and Kothari S contributed planning/conducting the study (literature review), interpretation of data, drafting/editing the manuscript, and approved the final draft.
Institutional review board statement: The study was reviewed and approved by the Research Subjects Review Board (University of Rochester Medical Center; approval #780).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no conflict of interest to report.
Data sharing statement: No additional data are available.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Truptesh H Kothari, FACG, FASGE, MD, MS, Associate Professor, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, 601 Elmwood Ave., Box 646, Rochester, NY 14642, United States. truptesh_kothari@urmc.rochester.edu
Received: December 16, 2020
Peer-review started: December 16, 2020
First decision: March 1, 2021
Revised: April 7, 2021
Accepted: July 19, 2021
Article in press: July 19, 2021
Published online: August 16, 2021
Processing time: 238 Days and 5.9 Hours
ARTICLE HIGHLIGHTS
Research background

Painless rectal bleeding (i.e., Grade I and Grade II Internal hemorrhoids) can be effectively treated with hemorrhoid energy treatment (HET). Our study has demonstrated that the procedure is safe, well tolerated and clinically effective for most patients.

Research motivation

There has been limited treatment for internal hemorrhoids, hence this manuscript is intended to add real-world clinical data to the literature.

Research objectives

To educate readers with clinical data regarding treatment of bleeding internal hemorrhoids with the help of HET system.

Research methods

This research study was a prospective cohort design.

Research results

The majority of patients reported complete resolution and/or improvement in bleeding resulting from internal hemorrhoids at 3-mo post-procedure.

Research conclusions

HET system can make a significant impact in treatment of bleeding internal hemorrhoids.

Research perspectives

Further research should be performed to expand upon our findings.