HEmoRhoidal disease management with Band ligation versus polidocanol Sclerotherapy: a systematic review and meta-analysis (the HerBS Review)

Patel, Janhavi; McKechnie, Tyler; Wu, Kathy; Sharma, Sahil; Lee, Yung; Doumouras, Aristithes G.; Hong, Dennis; Eskicioglu, Cagla

doi:10.1007/s00384-023-04394-w

Int J Colorectal Dis

2023

DOI: 10.1007/s00384-023-04394-w

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HEmoRhoidal disease management with Band ligation versus polidocanol Sclerotherapy: a systematic review and meta-analysis (the HerBS Review)

Janhavi Patel

Tyler McKechnie

Kathy Wu

et al.

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Cited by 3 publications

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“…In this context, we have read with great interest the systematic review conducted by Patel et al on the efficacy of rubber band ligation (RBL) and sclerotherapy in the treatment of symptomatic grade I-III HD ( 2 ).…”

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confidence: 99%

Sclerotherapy with 3% polidocanol foam in the treatment of hemorrhoidal disease: unveiling the missing pieces for a comprehensive evaluation

Gallo,

Dezi,

Grossi

et al. 2023

Front. Surg.

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confidence: 99%

Sclerotherapy with 3% polidocanol foam in the treatment of hemorrhoidal disease: unveiling the missing pieces for a comprehensive evaluation

Gallo,

Dezi,

Grossi

et al. 2023

Front. Surg.

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Mid-term outcome of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids

Tsunoda,

Kusanagi

2023

Tech Coloproctol

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Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients

Batra,

O’Connor,

Walmsley

et al. 2024

annals

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Background Symptomatic haemorrhoids (SH) are a common condition; however, conventional outpatient treatment, including rubber band ligation, is contraindicated in patients receiving concurrent anticoagulation. Injection sclerotherapy (IST) has been proposed as a treatment option for these patients. Methods A retrospective review of case notes was performed in a colorectal surgery department that sits alongside a tertiary cardiothoracic surgical unit. Patients treated with an IST for SH between 1 April 2014 and 30 November 2021 were identified. Anticoagulation was not stopped in these patients as they were at high risk of developing thromboembolism, except in two patients who required alternative procedures. The primary outcome was symptom resolution, defined as no patient reporting bleeding for at least six months. The secondary outcomes were patient-reported complications, number of IST procedures and number of other procedures performed to achieve symptom resolution. Results A total of 20 patients with a median age of 64 years (range 35–86, 14 male) who underwent 32 IST treatments were identified. Symptom resolution was achieved in 18 (90%) patients using IST while continuing anticoagulation treatment, with two (10%) patients requiring alternative interventions. Ten patients (50%) required only one IST procedure, and three patients (15%) required two procedures. The remaining five (25%) patients required three or four interventions. The median time between IST treatments was 32 weeks (range 8–133). No complications were reported. Conclusion Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.

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HEmoRhoidal disease management with Band ligation versus polidocanol Sclerotherapy: a systematic review and meta-analysis (the HerBS Review)

Cited by 3 publications

References 24 publications

Sclerotherapy with 3% polidocanol foam in the treatment of hemorrhoidal disease: unveiling the missing pieces for a comprehensive evaluation

Sclerotherapy with 3% polidocanol foam in the treatment of hemorrhoidal disease: unveiling the missing pieces for a comprehensive evaluation

Mid-term outcome of a novel nonexcisional technique using aluminum potassium sulfate and tannic acid sclerotherapy with mucopexy on patients with grade III hemorrhoids

Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients

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