A prospective study of outcome from rubber band ligation of piles

Abstract

Most patients with piles of any degree can be safely managed by rubber band ligation, but return of symptoms in the long term affects more than half of patients treated.

Comparative Study of Staging Rubber Band Ligation (RBL) and Hemorrhoidectomy in Treatment of Forth Degree Hemorrhoids

“…No major complications occurred after rubber band ligation in this study. These findings are supported by other researches (4,11,16). …”

“…Bernal et al reported a recurrence rate of 13.8% for 287 procedures (1) Longman et al reported that at first short follow-up, 84% of their patients were symptom-free. Long term follow up performed by questionnaire found that 44% of responders remained asymptomatic at a median of 46 months from banding (11). This difference is due to different grade of hemorrhoids and duration of follow up period.…”

“…Now it is the procedure of choice for patients who did not respond to office-based procedures or who unable to tolerate these procedures, grade three or four hemorrhoids, or patients with substantial external skin tags (5). Rubber band ligation is also widely used because it is a safe and effective method, involves less postoperative pain, and causes a quick recovery (9,(11)(12)(13). Complications are mostly minor.…”

“…In two surveys performed by Iyer et al and longman et al Rubber band ligation considered a safe and effective therapy for symptomatic internal hemorrhoids that can be used to treat all degrees of hemorrhoids with similar effectiveness (6,11).…”

“…There are a few studies available analyzing the effectiveness of RBL as an initial treatment for grade four symptomatic internal hemorrhoids (6,11,12). This study was designed to evaluate the success of staging RBL in treatment of grade four hemorrhoids, analyzing its complication and finally comparing the result with conventional hemorrhoidectomy.…”