Sclerotherapy using polidocanol 2% foam in the treatment of haemorrhoidal disease �a single-center experience

Figueiredo, Luísa; Ferreira, Filipa Bordalo; Rafael, Maria Ana; Oliveira, Ana Railka de Souza

doi:10.17235/reed.2021.8334/2021

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Recently, Figueiredo et al ( 29 ) proposed sclerotherapy with 2% polidocanol foam in 243 patients with different grades of HDs. Despite several limitations as the average follow-up, there was no information about the sample size and the number of sessions used; certainly, it cannot be considered a reliable study, although it would be interesting to compare the results with 2% and 3% polidocanol foam in terms of bleeding recurrence, effectiveness, and postprocedure complications ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study

et al. 2022

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BackgroundIn the last 2 years, anorectal surgery has been strongly affected and even surgery for urgent cases cannot be scheduled; also, patients with III- and IV-degree bleeding hemorrhoids should be treated conservatively. The aim was to evaluate the effectiveness of sclerotherapy in patients who had to postpone surgery.MethodsWe included all patients with III- and IV-degree bleeding hemorrhoids who underwent outpatient sclerotherapy. The visual analog scale and the hemorrhoid severity score were used at the baseline and at 4 weeks after the procedure with a telephone interview, and all patients were outpatient-evaluated 1 week, 1 month, and 1 year after the treatment. All pre- and postoperative data were recorded.ResultsFrom October 2020 to November 2021, 19 patients with III- (12 patients; 63%) and IV-degree (7 patients; 37%) bleeding hemorrhoids were enrolled. The mean operative time was 4.5 min, and no intraoperative complications occurred. One case of tenesmus and three failures were detected. Six months after the procedure, the overall success rate was 84%, although all of the patients enrolled reported persistent bleeding at the end of the study period. Of these, 5 patients (26%) were scheduled for surgery and 11 patients (58%) refused surgery and asked to undergo a re-do sclerotherapy.ConclusionSclerotherapy with 3% polidocanol foam is a safe and effective procedure also in III- and IV-degree bleeding hemorrhoids. The long-term data on the length of the foam remain to be evaluated in additional studies.

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Section: Discussionmentioning

confidence: 99%

Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study

et al. 2022

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

Patel

McKechnie

et al. 2023

Int J Colorectal Dis

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Sclerotherapy in Hemorrhoids

Chen

2022

Indian J Surg

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Injection sclerotherapy for all grades of interhemorrhoids in various situations and co-morbidities has become popular method of treatment. Several types of surgical operations both conventional and stapled hemorrhoidectomy has many and serious described side effects. On the contrary, proctoscopic injection sclerotherapy using some of the modern sclerosants and thin bore needle injections is an office-based ambulatory method of treatment of internal hemorrhoids; it is low in cost, devoid of any major complications besides it is quite successful as reported. Its safety and efficacy has been published in recent years. This manuscript is a result of thorough systemic review using PRISMA guidelines on various sclerosing agents, their merits and demerits, methods of administration, and outcome in internal hemorrhoids.

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Sclerotherapy using polidocanol 2% foam in the treatment of haemorrhoidal disease �a single-center experience

Cited by 3 publications

References 3 publications

Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study

Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study

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

Sclerotherapy in Hemorrhoids

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