Sclerotherapy with 3% polidocanol foam for third- and fourth-degree hemorrhoids as "bridge treatment" during the COVID-19 pandemic in Italy.
Sclerotherapy with 3% polidocanol foam for third- and fourth-degree hemorrhoids as "bridge treatment" during the COVID-19 pandemic in Italy.
复制标题
意大利COVID-19大流行期间，使用3%聚多卡醇泡沫硬化疗法治疗三级和四级痔疮作为“桥梁治疗”。
DOI：
10.1007/s00384-021-03848-3
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发表时间：
2021-06
影响因子：
2.8
通讯作者：
Grande M
中科院分区：
文献类型：
--
作者：
Lisi G;Campanelli M;Grande S;Milito G;Grande M
在意大利，结直肠手术受到强烈影响，绝大多数（90%）手术治疗良性疾病，估计12周内的总体取消率为72%。人们对如何最好地管理良性疾病患者以及这种护理中断在大流行后时期将产生的后果知之甚少。直肠疾病的高发病率和对生活质量的巨大影响具有社会，心理和保健影响。我们决定用3%聚多卡醇泡沫治疗10例III度和IV度痔疮的紧急病例，试图在等待手术期间减轻痔疮症状，即所谓的“桥梁治疗”。随访期间未发生并发症，所有患者的出血和瘙痒均消退，平均VAS为1（范围，0-1）。这种治疗可以减少出血，这是患者遭受的主要症状，他们接受了直肠评估和手术。根据我们在COVID-19大流行期间无法进行手术的初步经验，ST可被视为等待手术的III度和IV度痔疮患者的首选治疗方法。
In Italy, colorectal surgery has been strongly affected with the vast majority (90%) of operations treating benign diseases, with an estimated overall 12-week cancellation rate of 72%. Little is known on how to best manage patients with benign diseases and the consequences this interruption of care will have in post-pandemic times. Proctologic diseases have social, psychological, and healthcare repercussions for their high incidence and great impact on the quality of life. We decided to treated 10 urgent cases affected from III- and IV-degree hemorrhoids with 3% polidocanol foam in attempt to reduce hemorrhoidal symptoms while waiting for surgery so called “bridge treatment”. During the follow-up no complications were occurred, and all patients had resolution of bleeding and pruritus with a mean VAS of 1 (range, 0-1). This treatment could reduce the bleeding that is the main symptom from which patients suffer and for which they underwent proctological evaluation and surgery. According to our preliminary experience in the impossibility of accessing the surgery during the COVID-19 pandemic, ST could be considered as the treatment of choice in those patients who are suffering from grade III- and IV-degree hemorrhoids while waiting for surgery.
影响因子：
9.6
作者：
Nepogodiev, D.;Omar, Omar M.;Poelaert, Jan
通讯作者：
Poelaert, Jan
影响因子：
1.9
作者：
Lobascio, Pierluigi;Laforgia, Rita;Gallo, Gaetano
通讯作者：
Gallo, Gaetano