A Stepwise Proposal for Low-Grade Hemorrhoidal Disease: Injection Sclerotherapy as a First-Line Treatment and Rubber Band Ligation for Persistent Relapses.
A Stepwise Proposal for Low-Grade Hemorrhoidal Disease: Injection Sclerotherapy as a First-Line Treatment and Rubber Band Ligation for Persistent Relapses.
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DOI：
10.3389/fsurg.2021.782800
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发表时间：
2021
影响因子：
1.8
通讯作者：
Cocorullo G
中科院分区：
文献类型：
--
作者：
Tutino R;Massani M;Jospin Kamdem Mambou L;Venturelli P;Della Valle I;Melfa G;Micheli M;Russo G;Scerrino G;Bonventre S;Cocorullo G
门诊治疗实际上是治疗低度痔疮疾病的首选技术。其中，橡皮筋结扎（RBL）和注射硬化疗法（IS）是最常进行的。这两种技术都被使用，但尚未确定其中一种技术优于另一种技术。我们分析了比较这两种技术的有效性和安全性的研究，以便为治疗选择提供建议。 RBL 似乎在二度痔疮症状缓解方面最有效，对于三度痔疮的治疗效果相同或更好。然而，IS 术后严重疼痛和轻微并发症的发生率较低。由于门诊治疗是为患者提供的无痛选择，可以迅速康复，因此我们提出了一种逐步方案，使用 3% 聚多卡醇或硫酸铝钾和单宁酸 IS 作为第一种治疗选择，因为它的并发症较少，然后在复发的情况下使用 RBL。
Outpatient treatments are actually the techniques of choice in the management of low-grade hemorrhoidal disease. Among these, rubber band ligation (RBL) and injection sclerotherapy (IS) are the most frequently performed. Both techniques are used, without one having been determined to be superior over the other. We analyzed the studies that compare these two techniques in terms of efficacy and safety in order to offer a proposal for treatment choice. RBL seems to be most efficient in terms of symptom resolution for second-degree hemorrhoidal disease and equal or superior for treatment of third-degree disease. However, IS offers lower rates of severe post-operative pain and minor complications. Since outpatient treatments are offered to patients as painless options that allow a prompt recovery, we propose a stepwise protocol using 3% polidocanol or aluminum potassium sulfate and tannic acid IS as the first treatment option, as it has less complications, followed by RBL in cases of relapse.
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DOI：
10.1186/s13017-021-00384-x
发表时间：
2021-09-16
期刊：
World journal of emergency surgery : WJES
影响因子：
--
作者：
Tarasconi A;Perrone G;Davies J;Coimbra R;Moore E;Azzaroli F;Abongwa H;De Simone B;Gallo G;Rossi G;Abu-Zidan F;Agnoletti V;de'Angelis G;de'Angelis N;Ansaloni L;Baiocchi GL;Carcoforo P;Ceresoli M;Chichom-Mefire A;Di Saverio S;Gaiani F;Giuffrida M;Hecker A;Inaba K;Kelly M;Kirkpatrick A;Kluger Y;Leppäniemi A;Litvin A;Ordoñez C;Pattonieri V;Peitzman A;Pikoulis M;Sakakushev B;Sartelli M;Shelat V;Tan E;Testini M;Velmahos G;Wani I;Weber D;Biffl W;Coccolini F;Catena F
通讯作者：
Catena F
DOI：
10.1046/j.1463-1318.2003.00395.x
发表时间：
2003-03-01
期刊：
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
影响因子：
--
作者：
Kanellos, I;Goulimaris, I;Betsis, D
通讯作者：
Betsis, D
影响因子：
7.7
作者：
Wehrmann, T;Riphaus, A;Stergiou, N
通讯作者：
Stergiou, N
影响因子：
0.4
作者：
Gagloo, Mushtaq A.;Hijaz, S. Wardul;Sharief, Banday M.
通讯作者：
Sharief, Banday M.
影响因子：
3.4
作者：
van Tol, R. R.;Kleijnen, J.;Breukink, S. O.
通讯作者：
Breukink, S. O.