EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam

Background: Hemorrhoids are normal anatomical structures, present in individuals from birthandrecognisable even in intrauterinelife. When we talk about haemorrhoids in actual fact we refer to the symptoms caused by haemorrhoids. Currently surgery isconsidered the gold standard in the treatment of he...

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Autores principales: Maurizio Ronconi, Silvia Casiraghi, Mattia Schieppati
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2018
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Acceso en línea:https://doaj.org/article/f86a580cb4374da9a7a9c9b09a1cb3eb
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spelling oai:doaj.org-article:f86a580cb4374da9a7a9c9b09a1cb3eb2021-11-16T07:43:52ZEndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam2783-2430https://doaj.org/article/f86a580cb4374da9a7a9c9b09a1cb3eb2018-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47183_6e54e115058890c4fb56ee45c9e6b9c2.pdfhttps://doaj.org/toc/2783-2430Background: Hemorrhoids are normal anatomical structures, present in individuals from birthandrecognisable even in intrauterinelife. When we talk about haemorrhoids in actual fact we refer to the symptoms caused by haemorrhoids. Currently surgery isconsidered the gold standard in the treatment of hemorrhoids.Objectives: In our work we propose the application of an alternative, outpatient and painless treatment of hemorrhoids usingintraluminal injection of sclerosing foam (EndoTHeF), demonstrating the safety and feseability of this procedure.Methods:We enrolled 615 patients frommay 2008 to september 2018 with proctorragy from second and third degree hemorrhoids.Regular 3-week control examinations for all patients were scheduled. A total of 1427 procedures were carried out, with an average of2.32 sessions per patient.Results: Four hundred seventy six patients were available for follow-up, which lasted on average 12 months. In 83% of the casesproctorragy disappeared as early as after the first session. The analysis of a validity score concerning bleeding, pain level and senseof discomfort reported by patients showed a statistically significant difference (P < 0.0015) between before and after procedure.Conclusions: Hemorrhoidal endosclerosis with foam seems to be an effective and safe method to cure hemorrhoidal pathologiesand seems to offer good results in the short-middle term with acceptable results in terms of patient comfort and overall cost tosociety.Maurizio RonconiSilvia CasiraghiMattia SchieppatiShiraz University of Medical SciencesarticlehemorrhoidsfoamendovascularsclerosisendoscopymininvasiveoutpatientMedicineRENIranian Journal of Colorectal Research, Vol 6, Iss 4 (2018)
institution DOAJ
collection DOAJ
language EN
topic hemorrhoids
foam
endovascular
sclerosis
endoscopy
mininvasive
outpatient
Medicine
R
spellingShingle hemorrhoids
foam
endovascular
sclerosis
endoscopy
mininvasive
outpatient
Medicine
R
Maurizio Ronconi
Silvia Casiraghi
Mattia Schieppati
EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
description Background: Hemorrhoids are normal anatomical structures, present in individuals from birthandrecognisable even in intrauterinelife. When we talk about haemorrhoids in actual fact we refer to the symptoms caused by haemorrhoids. Currently surgery isconsidered the gold standard in the treatment of hemorrhoids.Objectives: In our work we propose the application of an alternative, outpatient and painless treatment of hemorrhoids usingintraluminal injection of sclerosing foam (EndoTHeF), demonstrating the safety and feseability of this procedure.Methods:We enrolled 615 patients frommay 2008 to september 2018 with proctorragy from second and third degree hemorrhoids.Regular 3-week control examinations for all patients were scheduled. A total of 1427 procedures were carried out, with an average of2.32 sessions per patient.Results: Four hundred seventy six patients were available for follow-up, which lasted on average 12 months. In 83% of the casesproctorragy disappeared as early as after the first session. The analysis of a validity score concerning bleeding, pain level and senseof discomfort reported by patients showed a statistically significant difference (P < 0.0015) between before and after procedure.Conclusions: Hemorrhoidal endosclerosis with foam seems to be an effective and safe method to cure hemorrhoidal pathologiesand seems to offer good results in the short-middle term with acceptable results in terms of patient comfort and overall cost tosociety.
format article
author Maurizio Ronconi
Silvia Casiraghi
Mattia Schieppati
author_facet Maurizio Ronconi
Silvia Casiraghi
Mattia Schieppati
author_sort Maurizio Ronconi
title EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
title_short EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
title_full EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
title_fullStr EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
title_full_unstemmed EndoTHeF: Endoluminal Treatment of Hemorrhoids with Foam
title_sort endothef: endoluminal treatment of hemorrhoids with foam
publisher Shiraz University of Medical Sciences
publishDate 2018
url https://doaj.org/article/f86a580cb4374da9a7a9c9b09a1cb3eb
work_keys_str_mv AT maurizioronconi endothefendoluminaltreatmentofhemorrhoidswithfoam
AT silviacasiraghi endothefendoluminaltreatmentofhemorrhoidswithfoam
AT mattiaschieppati endothefendoluminaltreatmentofhemorrhoidswithfoam
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