Clinical Utility of Sclerotherapy With a New Agent for Treatment of Rectal Prolapse in Patients With Risks

Tokunaga, Yukihiko

doi:10.1097/mcg.0b013e318299cab8

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…A prospective study showed an overall prolapses' improvement in 100% of patients (46), while Yano reported 52% of improvement of prolapse in III degree (43). Miyamoto and Tokunaka in their case series showed an improvement for IV degree, too (44,49). However, the RCTs presented in literature are poor of data.…”

Section: Discussionmentioning

confidence: 85%

The non-surgical management for hemorrhoidal disease. A systematic review

Cocorullo¹

2017

GHIR

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IntroductionRationale. The non-surgical treatments for hemorrhoids include rubber band ligation (RBL), injection sclerotherapy (IS), infrared coagulation (IRC), anal stretch, cryosurgery, laser hemorroidectomy. These treatments are usually performed in outpatient clinics without anesthesia, so reducing the costs related to hospital stay, operation-theatre and anesthesia; moreover, these techniques are time-saving and allow preserving patients' working days. These procedures have found a large use in patients suffering bleeding and prolapse caused by early hemorrhoidal stages that did not found an improvement with conservative therapy.Objectives. The aim of this review is to provide a framework to select the best procedure for different patients in order to minimize complications and to obtain the cure for this widespread social problem. Among the treatments RBL, IS and IRC are the most utilized and were analyzed. It was analyzed: 1) Does these procedures help? 2) What are the common harms? 3) What are the rare harms? 4) How many are the recurrences? MethodsThis systematic review was undertaken in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines (2).Eligibility criteria. Studies on patient complaining of bleeding or prolapse due to hemorroidal disease managed with RBL, IS and IRC were collected. The hemorroidal degrees and the presence of bleeding or prolapses were analyzed. The well-defined treatment modality and the symptoms resolution as outcome measures were The non-surgical treatments for hemorrhoids are cost and time-saving techniques usually performed in patients suffering early hemorrhoidal disease. The most used are rubber band ligation (RBL), injection sclerotherapy (IS), and infrared coagulation (IRC

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Section: Discussionmentioning

confidence: 85%

The non-surgical management for hemorrhoidal disease. A systematic review

Cocorullo¹

2017

GHIR

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“…If prolapse persists despite optimal management, various strategies exist for treatment. These include injection sclerotherapy [4][5][6][7][8][9][10][11][12][13][14][15][16][17], encircling of the anus, also known as the Thiersch operation [10,18], abdominal operations [3,13,19,20], and perineal operations [10,21]. Given the varied approaches, no one technique currently predominates thereby creating a wide heterogeneity in practice patterns.…”

Section: Introductionmentioning

confidence: 99%

Sclerotherapy for the management of rectal prolapse in children

Dolejs

Sheplock

Vandewalle

et al. 2018

Journal of Pediatric Surgery

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Portuguese Society of Gastroenterology Consensus on the Diagnosis and Management of Hemorrhoidal Disease

Salgueiro

Caetano

Oliveira

et al. 2019

GE Port J Gastroenterol

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Hemorrhoidal disease (HD) is a frequent health problem with considerable repercussions on patients’ quality of life. However, much of the clinical practice related to HD is based on knowledge without scientific evidence and supported largely by empirical experience of the physician who deals with this pathology. As in other countries, the goal of this consensus is to establish statements supported by solid scientific evidence and whose purpose will be to standardize and guide the diagnosis and management of HD both in the general population and in some particular groups of patients.

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Clinical Utility of Sclerotherapy With a New Agent for Treatment of Rectal Prolapse in Patients With Risks

Abstract: ALTA injection could be administered for the treatment of rectal prolapse without any pain or complication and would be useful even for patients with risks due to preoperative complications and/or medical history.

Cited by 4 publications

References 13 publications

The non-surgical management for hemorrhoidal disease. A systematic review

The non-surgical management for hemorrhoidal disease. A systematic review

Sclerotherapy for the management of rectal prolapse in children

Portuguese Society of Gastroenterology Consensus on the Diagnosis and Management of Hemorrhoidal Disease

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