The role of endoscopy in patients with anorectal disorders

Appalaneni, Vasundhara; Fanelli, Robert D.; Sharaf, Ravi; Anderson, Michelle A.; Banerjee, Subhas; Ben–Menachem, Tamir; Decker, G. Anton; Fisher, Laurel; Fukami, Norio; Harrison, M. Edwyn; Strohmeyer, Laura; Friis, Cindy; Ikenberry, Steven O.; Jain, Rajeev; Jue, Terry L.; Khan, Khalid; Krinsky, Mary Lee; Malpas, Phyllis M.; Maple, John T.; Dominitz, Jason A.

doi:10.1016/j.gie.2010.04.022

Cited by 25 publications

(11 citation statements)

References 85 publications

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“…As anorectal malignancy or proctitis can cause FI, all patients with such disorders should be considered for flexible sigmoidoscopy as indicated by their age, family history, and previous endoscopic evaluation. The evaluation should also assess for prolapsing haemorrhoids, rectal prolapse, and rectocele [61].…”

Section: Diagnostic Role Of Endoscopy In Fimentioning

confidence: 99%

“…If there is coexisting constipation or diarrhoea, the appropriateness of performing colonoscopy can be evaluated according to ASGE guidelines, to look for red alert signs and symptoms [61,62]. In the presence of diarrhoea, colonoscopy with histological examination must be considered to exclude microscopic colitis [63,64].…”

Section: Diagnostic Role Of Endoscopy In Fimentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and treatment of faecal incontinence: Consensus statement of the Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists

Pucciani

Altomare

Dodi

et al. 2015

Digestive and Liver Disease

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Section: Diagnostic Role Of Endoscopy In Fimentioning

confidence: 99%

Section: Diagnostic Role Of Endoscopy In Fimentioning

confidence: 99%

Diagnosis and treatment of faecal incontinence: Consensus statement of the Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists

Pucciani

Altomare

Dodi

et al. 2015

Digestive and Liver Disease

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“…Chronic radiation proctopathy (CRP) is a late gastrointestinal (GI) toxicity and one of the common adverse effects after radiation therapy. Histopathological features of CRP are ischemic endarteritis and fibrosis in the submucosa [ 3 ]. The symptoms of CRP include hematochezia, tenesmus, diarrhea, fecal incontinence, and defecatory urgency.…”

Section: Introductionmentioning

confidence: 99%

“…The most common complaint is rectal bleeding. CRP is temporary and self-limiting in approximately 95% of all patients; however, patients with severe recurrent hemorrhage may require hospitalization and blood transfusions [ 3 ]. Furthermore, various treatment modalities have been reported for the management of CRP, including endoscopic argon plasma coagulation (APC) [ 4 ], dilute formalin topical treatment [ 5 ], hyperbaric oxygen (HBO) therapy [ 6 ], and sucralfate enema [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Endoscopic Follow-Up of Patients with Chronic Radiation Proctopathy after Brachytherapy for Prostate Cancer

Ohtani

Suto

Nosaka

et al. 2016

Diagnostic and Therapeutic Endoscopy

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Background. Chronic radiation proctopathy (CRP) is late toxicity and associated with morbidity. Aim. To investigate the predictors of prognosis in patients with CRP after brachytherapy (BT). Methods. One hundred four patients with prostate cancer were treated with BT or BT followed by external-beam radiotherapy (BT + EBRT). We retrospectively investigated the 5-year incidence of rectal bleeding and endoscopic findings of CRP using the Vienna Rectoscopy Score (VRS). Twenty patients with VRS ≥ 1 were divided into the improved VRS group without treatment, unchanged VRS group, and treated group. The parameters associated with alteration of VRS were analyzed. Results. The incidence of rectal bleeding was 24%. The risk of rectal bleeding was higher in patients treated with BT + EBRT compared to those treated with BT (p < 0.0001). The incidence of superficial microulceration was higher in the improved VRS group than in the unchanged VRS group (p < 0.05). The incidence of multiple confluent telangiectasia or superficial ulcers > 1 cm2 was higher in the treated group than in both the improved and unchanged VRS groups (p < 0.05). Conclusions. Patients treated with BT + EBRT have a high risk of CRP. Endoscopic findings were useful for prognostic prediction of CRP.

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“…1,2 Vascular piles are a part of anal canal continence (left lateral, right anterior and right posterior) and if symptomatic called haemorrhoids. 3 It is thought that clinical disease develops as a result of dilation and distension of the veins along with weakening of the supporting connective tissue.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Study on Role of Sclerotherapy in Management of First and Second Degree Haemorrhoids

Ambedkar¹,

Singh²,

Gaharwar³

et al. 2016

jemds

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AIM AND OBJECTIVETo find out the safety and efficacy of sclerotherapy in management of symptomatic first and second degree haemorrhoids. PATIENTS AND METHODSTotal 53 patients of both genders were selected with diagnosis of symptomatic first or second degree haemorrhoids, all of them were subjected for injection sclerotherapy and procedure repeated as per need. Patients were assessed at 1 week, 1 month, 3 months and 6 months thereafter. RESULTSBleeding stopped in 94.3% of the patients after treatment at 6 months follow-up with early and smooth recovery without any significant morbidity. CONCLUSIONThis prospective study concluded sclerotherapy as a safe, easy, cheap and effective method of treatment of first degree and early second degree haemorrhoids devoid of any significant complications. KEYWORDSHaemorrhoids, Sclerotherapy, First Degree Haemorrhoids, Second Degree Haemorrhoids, Rubber Band Ligation, Anorectal Symptoms. HOW TO CITE THIS ARTICLE:Ambedkar V, Singh A, Gaharwar APS, et al. A prospective study on role of sclerotherapy in management of first and second degree haemorrhoids.

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The role of endoscopy in patients with anorectal disorders

Cited by 25 publications

References 85 publications

Diagnosis and treatment of faecal incontinence: Consensus statement of the Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists

Diagnosis and treatment of faecal incontinence: Consensus statement of the Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists

Long-Term Endoscopic Follow-Up of Patients with Chronic Radiation Proctopathy after Brachytherapy for Prostate Cancer

A Prospective Study on Role of Sclerotherapy in Management of First and Second Degree Haemorrhoids

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