ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ TRĨ NỘI CHẢY MÁU BẰNG THẮT VÒNG CAO SU QUA MÁY NỘI SOI ỐNG MỀM

Abstract

Objective: The purpose of this study was the evaluation of the efficacy, clinical outcome complications with non-surgical treatment for intermediate grade (I, II and III) by endoscopic rubber band ligation (ERBL). Subjects and methods: A total 34 patients of mean age 45.7 years were underwent ERBL technique with the aid of a gastroscopy and a kit of elastic rubber bands for esophageal varices. All the patients were follow up and were evaluated technical and clinical efficiency and complications. Results: The obtained results showed that sixteen patients had grade I hemorrhoids, 10 patients had grade Ⅱ hemorrhoids and 8 patients had grade Ⅲ hemorrhoids. All the patients were observed with anal bleeding, in which 4 patients (19%)  was observed with chronic complaints itching and 10 patients (47.6%) were observed with prolapse. In particularly, The rectal bleeding and other symptoms were controlled with significantly fewer treatments ERBL had a significantly higher success rate 30 patients (88.1%), all patients needed a minimum of 1 treatment and a maximum of 2 treatments, a median of 2.9 bands was used in the procedure. Pain after ligation tended to be more frequent in patients treated with the flexible endoscope 61.8% (21 patients) but most of the complications are considered of low mag­nitude, easily resolved. Conclusions: The rubber band ligation using the flexible gastroscopy method was proved to be a feasible with advantages maneuverability, safe and efficient for the treatment of symptomatic hemorrhoid disease.