Hemorrhoids
Conditions
Keywords
Internal hemorrhoids, Rubber band ligation, Bipolar coagulation
Brief summary
The purpose of this study is to determine which treatment, band ligation (placing rubber bands around the hemorrhoids) or BICAP electrocoagulation (using electricity to cauterize) is safer and more effective endoscopic treatment for bleeding internal hemorrhoids.
Interventions
placing rubber bands around the internal hemorrhoids
using electricity to cauterize
Sponsors
Study design
Eligibility
Inclusion criteria
1. Grade II or III internal hemorrhoids with chronic rectal bleeding, which failed at least 8 weeks of intensive medical therapy. 2. Age over 18 years 3. A life expectancy of at least 24 months 4. A signed written informed consent
Exclusion criteria
1. The patient was uncooperative or could not return for routine outpatient follow-up 2. Severe or end-stage co-morbid illness 3. Prior endoscopic or surgical treatment of hemorrhoids within the past 6 months 4. Ongoing need for anticoagulation therapy or high doses of aspirin or non-steroidal antiinflammatory agents 5. Presence of severe rectal pain 6. Recently thrombosed internal or external hemorrhoids 7. Anal stricture,fissure, fistula,or abscess 8. Rectal carcinoma or bleeding distal colonic polyp 9. Rectal varices 10. Acute or chronic colitis 11. Rectal prolapse 12. Radiation telangiectasia of the rectum 13. Prothrombin time \>3 seconds over control 14. Platelet count \<75,000
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| treatment success rate | one year |
Secondary
| Measure | Time frame |
|---|---|
| treatment complication rate | one year |
Countries
United States