Journal of Nippon Medical School: Vol.69 No.5 page.451

Journal of Nippon Medical School

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ArticleTitle Endoscopic Hemorrhoidal Ligation from the Rectum

AuthorList Yoshinobu Shioda^{1, 2}, Masahiko Onda², Takashi Sakuma¹, Masahiko Hori¹, Hideaki Takasaki² and Hirokazu Hasegawa²

Affiliation ¹Department of Surgery, Shioda Hospital, ²First Department of Surgery, Nippon Medical School

Language JA

Volume 69

Issue 5

Year 2002

Page 451-455

Received February 6, 2002

Accepted March 27, 2002

Keywords hemorrhoids, colonoscopy, endoscopic hemorrhoidal ligation

Abstract Endoscopic hemorrhoidal ligation with a rubber band was carried out on 40 patients with internal hemorrhoids. All the patients were treated in the outpatient ward. Seven patients complained of mild to moderate aches in the early postoperative days, which were easily controlled by medication. One week after the treatment, no patient complained of pain. None of the patients had any postoperative bleeding. The results of this treatment were classified as good (no complaint or symptoms after the treatment), fair (at least some improvement), or poor (no change or worse than before the treatment). Twenty-nine of the 40 patients were classified as good, and the remaining 11 patients were fair. No patients were classified as poor. EHL is a harmless and painless procedure and is easily performed in the outpatient ward.
When internal hemorrhoids of operative indication are detected by colonoscopy, EHL can be easily and simultaneously carried out.

Correspondence to Yosinori Shioda, Department of Surgery, Shioda Hospital, 1221 Izumi, Katsuura-si, Chiba 299-5235, Japan

ArticleTitle	Endoscopic Hemorrhoidal Ligation from the Rectum
AuthorList	Yoshinobu Shioda^{1, 2}, Masahiko Onda², Takashi Sakuma¹, Masahiko Hori¹, Hideaki Takasaki² and Hirokazu Hasegawa²
Affiliation	¹Department of Surgery, Shioda Hospital, ²First Department of Surgery, Nippon Medical School
Language	JA
Volume	69
Issue	5
Year	2002
Page	451-455
Received	February 6, 2002
Accepted	March 27, 2002
Keywords	hemorrhoids, colonoscopy, endoscopic hemorrhoidal ligation
Abstract	Endoscopic hemorrhoidal ligation with a rubber band was carried out on 40 patients with internal hemorrhoids. All the patients were treated in the outpatient ward. Seven patients complained of mild to moderate aches in the early postoperative days, which were easily controlled by medication. One week after the treatment, no patient complained of pain. None of the patients had any postoperative bleeding. The results of this treatment were classified as good (no complaint or symptoms after the treatment), fair (at least some improvement), or poor (no change or worse than before the treatment). Twenty-nine of the 40 patients were classified as good, and the remaining 11 patients were fair. No patients were classified as poor. EHL is a harmless and painless procedure and is easily performed in the outpatient ward. When internal hemorrhoids of operative indication are detected by colonoscopy, EHL can be easily and simultaneously carried out.
Correspondence to	Yosinori Shioda, Department of Surgery, Shioda Hospital, 1221 Izumi, Katsuura-si, Chiba 299-5235, Japan