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- W2336186663 abstract "Objectives: Hemorrhoids are a common disorder and a major cause of rectal bleeding and perianal discomfort. Nonendoscopic rubber band ligation (RBL) is an effective treatment for hemorrhoids, but to date, this technique has not been widely employed by gastroenterologists. The purpose of this study was to evaluate the efficacy, complications, success rate, and recurrence rate at 3 months for the CRH-O’Regan Disposable Hemorrhoid Banding System in the outpatient gastroenterology setting. Methods: Eleven physicians at 7 locations, including offices and endoscopy centers, in a single-specialty gastroenterology practice employed the CRH-O’Regan Disposable Hemorrhoid Banding System after completing initial standardized inservice training. A total of 113 adult patients of all ages underwent hemorrhoid banding from June through November 2008. These included men (n = 62, 55%) and women (n = 51, 45%), with an average age of 54 years (range, 19–78). A total of 257 banding events were performed either in the office (n = 56, 50%) or in the endoscopy center (n = 57, 50%). Eight patients (7%) had prior hemorrhoid surgery. Indications for RBL included rectal bleeding alone (n = 62, 55%) or multiple symptoms (n = 51, 45%). External hemorrhoids were not treated in this study. Internal hemorrhoid grading included grade I (n = 8, 7%), grade II (n = 84, 74%), and grade III (n = 21, 19%). The data were abstracted retrospectively from the clinical chart. Safety data was abstracted for all 113 cases. Response data were abstracted for patients completing 2 or more RBL sessions (n = 76, 67%). A 3-month follow-up questionnaire was subsequently sent to each of these 76 patients. Results: Initial symptoms were resolved in 71 of 76 patients (94%). Rectal bleeding resolved in 90% of patients after at least 1 banding event. Complications included severe immediate discomfort (n = 1, 0.8%), thrombosis (n = 1, 0.8%), urinary hesitancy (n = 2, 1.8%), and near-syncope (n = 1, 0.8%). Severe bleeding occurred in 1 patient (0.8%). Severe pain occurred in 1 patient (0.8%). There were no cases of pelvic sepsis. No patient required time off because of the procedure. At the 3-month follow-up, symptom resolution or improvement, including rectal bleeding and discomfort, was noted in more than 80% of respondents. Conclusion: Outpatient treatment of hemorrhoids by gastroenterologists using the CRH-O’Regan Disposable Hemorrhoid Banding System is safe and effective. This is a novel, nonendoscopic approach to treating common symptoms of internal hemorrhoids, such as rectal bleeding, perianal discomfort, and other associated complaints. It can be employed in the office or endoscopy center, and patients do not require time off from work after the procedure." @default.
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- W2336186663 date "2009-01-01" @default.
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- W2336186663 title "Hemorrhoid Treatment in the Outpatient Gastroenterology Practice Using the O'Regan Disposable Hemorrhoid Banding System is Safe and Effective" @default.
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