Progress in Endoscopic Treatment of Hemorrhoids

Wenzhuang Ma; Jintao Guo; Fan Yang; Christoph F Dietrich; Siyu Sun

doi:10.2478/jtim-2020-0036

Progress in Endoscopic Treatment of Hemorrhoids

J Transl Int Med. 2020 Dec 31;8(4):237-244. doi: 10.2478/jtim-2020-0036. eCollection 2020 Dec.

Authors

Wenzhuang Ma¹, Jintao Guo¹, Fan Yang¹, Christoph F Dietrich², Siyu Sun¹

Affiliations

¹ Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
² General Medical Department (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland.

Abstract

Hemorrhoids are one of the most common diseases of the anorectal region. Previously, treatment for hemorrhoids included conservative treatment, outpatient treatment, and surgical treatment. The development of flexible reversible endoscopes has provided precise controllability and imaging, enabling further improvement and development of various endoscopic techniques to treat hemorrhoids. This article discusses several of these endoscopic techniques: rubber band ligation, sclerotherapy, and electrocoagulation. The development, efficacy, and advantages of these treatments are summarized and evaluated. It is expected that going forward, endoscopic technology will be further applied in clinical practice and may become the first-line method for the treatment of hemorrhoids.

Keywords: electrocoagulation; endoscopic treatment; hemorrhoids; rubber band ligation; sclerotherapy.

Publication types

Review

Grants and funding

This work is supported by Youth Support Foundation of China Medical University (Grant No. QGZ2018058); Science and Technology Program of Shenyang (Grant No. 19-112-4-103); Outstanding Scientific Fund of Shengjing Hospital (Grant No. 201702); and Doctoral Scientific Research Foundation of Liaoning Province (Grant No. 2019-BS-276)