9^th Euro-Global Gastroenterology Conference

Biography

Biography: Mohamed AR Mohmed Alshekhani

Abstract

Background: Hemorrhoids are prolapse and laxity of the collections of submucosal, fibrovascular & arteriovenous sinusoids that are part of the normal anorectum. The current thesis is to evaluate the role of flexible endoscopic band ligation in the treatment of symptomatic internal hemorrhoids using forward viewing approach.

Aim of study: To evaluate the role of flexible endoscopic band ligation in the treatment of symptomatic internal hemorrhoids using forward viewing approach.

Methodology: A prospective cohort study carried out in the Endoscopy unit of Kurdistan center for gastronetrology & hepatology , Shar hospital- and the private clinic of the supervisor all in Sulaimani city.

One hundred patients with symptomatic internal piles were evaluated. All patients were managed by flexible endoscopic band ligation using the forward or antegrade viewing approach. The patients were followed up by for 6 months. Statistical Package for Social Sciences (SPSS) version 21 was used for data analysis.

Result: Mean age of hemorrhoid patients was 32±9 years, 39% of them were in 30-39 years age group. Male to female ratio as 2.7:1. The common presenting symptom of hemorrhoid patients was bleeding per rectum (BPR) (55%); followed by feeling of anal mucosal protrusion (48%). About half of studied patients (45%) had second degree internal hemorrhoid, 38% of patients had third degree and 17% of them had first degree internal hemorrhoid. Mild anal pain represented 77.1% of postoperative complications. Six month postoperatively, 69% of studied patient’s perceived cure, 20% improved, 8% unchanged and 3% perceived worsening. A significant decline in third degree was observed after RBL for hemorrhoid patients (p=0.04).
Conclusion: Rubber band ligation is good and safe non-surgical technique for management of internal hemorrhoids with high degree of patient's satisfaction.

Key words: Hemorrhoid, RBL