Endoscopy 2020; 52(S 01): S144
DOI: 10.1055/s-0040-1704443
ESGE Days 2020 ePoster Podium presentations
Thursday, April 23, 2020 11:00 – 11:30 Keeping the lumen 1 ePoster Podium 8
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QUALITY OF LIFE BEFORE AND AFTER ENDOSCOPIC LIGATION OF HEMORRHOIDS: APPLICATION OF THE BURDEN HéMO/FISS QOL SCORE

M Ayari
1   Mongi Slim Hospital, Gastroenterology, Tunis, Tunisia
,
R Ennaifer
1   Mongi Slim Hospital, Gastroenterology, Tunis, Tunisia
,
S Nsibi
1   Mongi Slim Hospital, Gastroenterology, Tunis, Tunisia
,
B Bouchabou
1   Mongi Slim Hospital, Gastroenterology, Tunis, Tunisia
,
HB Nejma
1   Mongi Slim Hospital, Gastroenterology, Tunis, Tunisia
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims Improving quality of life (Qol) of patients has become a major therapeutic goal in the management of hemorrhoidal disease (HD). Rubber band ligation (RBL) of hemorrhoids is currently the first-line therapeutic after failure of medical treatment. The aim of our study is to assess the impact of HD on the quality of life (QoL) of patients before and after RBL.

    Methods We performed a prospective study including patients requiring rubber band ligation after failure of the medical treatment. QoL before and after RBL was assessed using the Burden Hemo/Fiss Qol score based on a questionnaire including 23 questions grouped into four domains: Physical disorders, psychology, troubles defecating and repercussions on sexuality.

    Results A total of 40 patients were included in our study, with a male predominance (sex ratio M/F: 7.5). The mean age of our patients was 46.8 ± 10.9 years. The clinical signs were dominated by bleeding (91.4%), followed by anal pain (48.5%). Indications for RBL were hemorrhagic internal hemorrhoids (77%) and prolapse (23%). Clinical examination found grade 2 internal hemorrhoids in 68.5% of cases and grade 3 in 31.5% of cases. A total of 148 RBL sessions were performed with an average number of ligation sessions per patients of 4 sessions (1 - 12). The mean value of the Hemo/Fiss score before ligation was 49.27 versus 14.82 after (p < 0.001). A significant improvement in physical disorders (48.64 versus 14.55, p< 0.001), troubles defecating (68.5 versus 21.91 p < 0.001), psychology (45.27 versus 12.95 p=0.001) and sexuality (37.09 versus 12.09, p=0.02) was observed after instrumental treatment by band ligation.

    Conclusions Rubber band ligation of hemorrhoids is an effective technique that improves Qol. The Burden Hémo/Fiss Qol questionnaire reliably assesses the impact of HD on patients´ lives. This simple tool can be useful for assessing effectiveness of band ligation in daily practice.


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