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Endoscopy 2003; 35(5): 416-420
DOI: 10.1055/s-2003-38773
Original Article

© Georg Thieme Verlag Stuttgart · New York

Long-Term Results of Endoscopic Hemorrhoidal Ligation: Two Different Devices with Similar Results

M.-Y.  Su1 , S.-Y.  Tung1 , C.-S.  Wu1 , I.-S.  Sheen1 , P.-C.  Chen1 , C.-T.  Chiu1
  • 1Digestive Therapeutic Endoscopic Center, Dept. of Gastroenterology, Lin-Kou Medical Center, Chang-Gung Memorial Hospital, Chang-Gung University, Tao-Yüan, Taiwan
Further Information

Publication History

Submitted 18 April 2002

Accepted after Revision 27 November 2002

Publication Date:
17 April 2003 (online)

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Background and Study Aims: To evaluate the efficacy of two different endoscopic hemorrhoidal ligation (EHL) devices for symptomatic internal hemorrhoid.
Patients and Methods: From November 2000 to February 2001, 218 consecutive patients with symptomatic internal hemorrhoids were enrolled. A total of 109 patients were treated with an EHL device 9 mm in diameter (group A); the rest were treated with a device 13 mm in diameter (group B). The patients' clinical presentations were rectal bleeding and prolapse. The severity of the hemorrhoid was classified using Goligher's grading.
Results: All patients were treated for one session, and were followed from 19 to 24 months (mean 22.4 months). The number of band ligations averaged 2.59 in group A and 1.68 in group B. Most patients had their hemorrhoids reduced by at least one grade (82.8 % in group A and 90.8 % in group B). Rectal bleeding was controlled in 108 patients (99.1 %) in group A and 109 patients (100 %) in group B, while rectal prolapse was reduced in 93 patients (85.3 %) in group A and 99 patients (90.8 %) in group B. Eleven patients in group A and 12 in group B experienced anal pain after treatment, and eight patients in group A and six in group B had mild bleeding. The patients' subjective satisfaction rates were 90.8 % in group A and 93.6 % in group B. The 1-year recurrence rates were 3.9 % in group A and 2.3 % in group B.
Conclusions: Both EHL devices can effectively treat symptomatic internal hemorrhoids. A device with a smaller diameter requires more band ligations, but appears equivalent with regard to treatment outcome and complications.

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C.-T. Chiu, M.D.

Dept. of Gastroenterology, Lin-Kou Medical Center · Chang-Gung Memorial Hospital ·

5 Fu-Shin Street, Kweishan · Tao-Yüan · Taiwan · Republic of China

Fax: + 886-3-3272236

Email: ctchiu@adm.cgmh.org.tw