Efficacy and Safety of Colonoscopic Band Ligation for Lower Gastrointestinal Bleeding due to Hemorrhoid

  • Pawan Sapkota Upadhya Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Prajjwol Luitel Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Sujan Paudel Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Nischal Neupane Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Shailesh Adhikary Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Laligen Awale Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Narendra Pandit Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
DOI: https://doi.org/10.33314/jnhrc.v22i03.5135

Abstract

Background: Lower gastrointestinal bleeding is a significant cause of morbidity and mortality. Hemorrhoids are frequently encountered cause of lower gastrointestinal bleeding in outpatient settings in Nepal. Rubber band ligation is one of the most important, cost-effective, and commonly used treatments for first to third-degree internal hemorrhoids. Colonoscopic Rubber band ligation provides enhanced visualization and maneuverability, improving safety and efficacy of Rubber band ligation compared to traditional Rubber band ligation methods. This study aimed to assess the safety, efficacy, and patient acceptance of Colonoscopic Rubber band ligation for lower Lower gastrointestinal bleeding due to hemorrhoids.
Methods: This study, conducted in a tertiary care center of Nepal over one year, explores the immediate, late complications, efficacy and treatment satisfaction of patients undergoing Colonoscopic Rubber band ligation for lower GI bleeding due to hemorrhoids.
Results: We included 28 among 108 patients presenting to the surgical outpatient department with Lower gastrointestinal bleeding. Symptoms of irritation, discharge, pain resolved in all patients at 3 months and that of bleeding and prolapse in 96.4% and 92% respectively. 75% were able to resume work the day after the procedure. Post-procedure complications were reported in 53.5% of cases. 78.6% of patients rated Colonoscopic Rubber band ligation treatment as “excellent help”.
Conclusions: Colonoscopic Rubber band ligation is feasible, safe and efficient for the treatment of symptomatic grade II hemorrhoids with most patients experiencing relief and high satisfaction. Further multicenter research with longer follow-up is needed to confirm long-term effectiveness.
Keywords: Colonoscopy; hemorrhoids; per rectal bleeding; rubber band ligation procedure.

Published
2024-12-20
How to Cite
Sapkota Upadhya, P., Luitel, P., Paudel, S., Neupane, N., Adhikary, S., Awale, L., & Pandit, N. (2024). Efficacy and Safety of Colonoscopic Band Ligation for Lower Gastrointestinal Bleeding due to Hemorrhoid. Journal of Nepal Health Research Council, 22(03), 557-561. https://doi.org/10.33314/jnhrc.v22i03.5135
Issue
Vol. 22 No. 03 (2024): Issue 64 July-Sep, 2024
Section
Original Article

Copyright (c) 2024 Pawan Sapkota Upadhya, Prajjwol Luitel, Sujan Paudel, Nischal Neupane, Shailesh Adhikary, Laligen Awale, Narendra Pandit

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