Combined Aluminum Potassium Sulfate and Tannic Acid Sclerosing Therapy and Anal Encirclement Using an Elastic Artificial Ligament for Rectal Prolapse

Abé, Tatsuya; Hachiro, Yoshikazu; Kunimoto, Masao

doi:10.1097/dcr.0000000000000087

Cited by 11 publications

(14 citation statements)

References 8 publications

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“…Sclerosants including ethanolamine oleate, [40] quinine, [41] hypertonic saline, [42] 5% phenol, [43] An's Shaobei injection, Xiaozhiling injection, [44] potassium aluminum sulfate and tannic acid, [45][46][47][48] have been used for the sclerotherapy of grade I-II internal hemorrhoids. ASCRS recommends 5% phenol dissolved in almond oil, vegetable oil or sodium tetradecyl sulfate in ASCRS Clinical Practice Guidelines for Hemorrhoid Management 2018.…”

Section: Endoscopic Sclerotherapymentioning

confidence: 99%

Progress in endoscopic treatment of hemorrhoids

Guo

Yang

et al. 2020

Journal of Translational Internal Medicine

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Hemorrhoids are one of the most common diseases of the anorectal region. Previously, treatment for hemorrhoids included conservative treatment, outpatient treatment, and surgical treatment. The development of flexible reversible endoscopes has provided precise controllability and imaging, enabling further improvement and development of various endoscopic techniques to treat hemorrhoids. This article discusses several of these endoscopic techniques: rubber band ligation, sclerotherapy, and electrocoagulation. The development, efficacy, and advantages of these treatments are summarized and evaluated. It is expected that going forward, endoscopic technology will be further applied in clinical practice and may become the first-line method for the treatment of hemorrhoids.

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Section: Endoscopic Sclerotherapymentioning

confidence: 99%

Progress in endoscopic treatment of hemorrhoids

Guo

Yang

et al. 2020

Journal of Translational Internal Medicine

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“…5,6 ALTAS is not currently approved by the US Food and Drug Administration; however, it is used throughout Asia and has been applied in the treatment of rectal prolapse and rectocele. 1,8,9 Most of the previous trials regarding ALTAS have reported on its short-term outcomes. There are few reports of the long-term results of ALTAS, with the longest period of study being 5 years.…”

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confidence: 99%

Long-term Outcomes of Aluminum Potassium Sulfate and Tannic Acid Sclerotherapy for Prolapsed Hemorrhoids: A Single-Center, Observational Study

Abé

Kunimoto

Hachiro

et al. 2021

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Aluminum potassium sulfate and tannic acid sclerotherapy for hemorrhoids produced almost the same effects as excisional hemorrhoidectomy. However, its long-term effectiveness remains unknown. OBJECTIVE:The purpose of this study was to investigate the long-term results of sclerotherapy using aluminum potassium sulfate and tannic acid for treating prolapsed hemorrhoids.DESIGN: This was a retrospective review of a singleinstitution experience. SETTINGS:This study was conducted within a coloproctology unit at a community-based hospital. PATIENTS:In total, 1180 patients with grade II to IV hemorrhoids treated with injection sclerotherapy were enrolled. MAIN OUTCOME MEASURES:Efficacy measures included cumulative recurrence rates and postoperative complications. RESULTS:Recurrence rates at 3, 6, and 9 years were 7.4%, 27.2%, and 47.5%. Postoperative complications included fever ≥38°C in 16 (1.4%) patients, rectal ulcer in 10 (0.9%) patients, rectal stricture in 5 (0.4%) patients, and perianal abscess in 4 (0.3%) patients. LIMITATIONS:This was a retrospective, nonrandomized, single-center study. In addition, office visits after 3 years were optional and the number of follow-ups steadily decreased.CONCLUSIONS: Sclerotherapy using aluminum potassium sulfate and tannic acid offers reasonable longterm results and is associated with low complication rates. Therefore, it seems to be an attractive alternative for patients with prolapsed hemorrhoids. See Video Abstract at http://links.lww.com/DCR/B733.

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“…Injection sclerotherapy is indicated for hemorrhoids and rectal prolapsed. It is minimally invasive and economical, but seldom used to treat rectocele [ 33 ]. ALTA treatment interrupts the blood flow to the hemorrhoids resulting in sporadic hemostatic effect and contraction of hemorrhoids.…”

Section: Discussionmentioning

confidence: 99%

Changes in anorectal physiology following injection sclerotherapy using aluminum potassium sulfate and tannic acid versus transanal repair in patients with symptomatic rectocele; a retrospective cohort study

Kim

Lee²,

Suh

2018

BMC Surg

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BackgroundFollowing injection sclerotherapy using ALTA (aluminum potassium sulfate and tannic acid) (ALTAS) and transanal rectocele repair (TAR), changes in anorectal physiology were analyzed to compare the significance of the two treatments.MethodsALTAS was administered to 23 patients and 18 patients were treated using TAR. Efficacy measures included changes in defecography, anorectal manometry and constipation scoring system value.ResultsThis was a retrospective cohort analysis conducted on prospectively collected data. Comparing anorectal physiology pre- and post- ALTAS, a statistically significant difference in push was observed with pre-ALTAS treatment (pre-A) at 104.33 ± 4.91° compared with post-ALTAS treatment (post-A) at 113.95 ± 4.74° (p < 0.001). With a pre-A value of 1.55 ± 0.18 cm and a post-A value of 2.46 ± 0.34 cm, perineal descent also showed an increase as well (p < 0.001). The rectocele size decreased post-A from a pre-A value of 7.74 ± 0.86 cm compared with a post-A value of 2.91 ± 0.52 cm (p < 0.001). The rectal sensation improved post-A compared with pre-A. Comparing anorectal physiology results of ALTAS and TAR treatments, no differences in defecography and rectal sensation were detected pre- and post-treatment. However, in terms of anorectal manometry, the mean resting pressure and maximal squeezing pressure showed statistical difference with two treatments.ConclusionsALTAS treatment is a feasible option resulting in rapid and effortless long-term outcome, with low rates of complications. Therefore, this treatment may be an effective alternative for patients with symptomatic rectocele.

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Combined Aluminum Potassium Sulfate and Tannic Acid Sclerosing Therapy and Anal Encirclement Using an Elastic Artificial Ligament for Rectal Prolapse

Abstract: This procedure is quick and easy to perform, with no formidable morbidity, and the recurrence rate is reasonably low. Therefore, it seems to be a reasonable alternative for rectal prolapse in frail, elderly, and high-risk patients.

Cited by 11 publications

References 8 publications

Progress in endoscopic treatment of hemorrhoids

Progress in endoscopic treatment of hemorrhoids

Long-term Outcomes of Aluminum Potassium Sulfate and Tannic Acid Sclerotherapy for Prolapsed Hemorrhoids: A Single-Center, Observational Study

Changes in anorectal physiology following injection sclerotherapy using aluminum potassium sulfate and tannic acid versus transanal repair in patients with symptomatic rectocele; a retrospective cohort study

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