TITLE

Hemorrhoid Banding Using Videoendoscopic Anoscopy and a Single-Handed Ligator: An Effective, Inexpensive Alternative to Endoscopic Band Ligation

AUTHOR(S)
Dickey, William; Garrett, Daphne
PUB. DATE
July 2000
SOURCE
American Journal of Gastroenterology;Jul2000, Vol. 95 Issue 7, p1714
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: We evaluated a technique of hemorrhoid banding using videoscopic anoscopy and a single-handed ligator that offers substantial cost savings over endoscope-mounted devices. METHODS: Patients with rectal bleeding from grade II/III hemorrhoids had videoscopic anoscopy, which provided a magnified view, allowing accurate localization of the hemorrhoids and the dentate line before handing, and a photographic record, if required. Banding was performed using a suction ligator that could be operated by one hand, allowing the other to control the anoscope. RESULTS: Of 39 patients with second- and third-degree hemorrhoids. 34 (87%) had no further bleeding after a single banding session and a further three had no recurrence after a second session. The only complications were pain {one patient) and infection (one patient). CONCLUSIONS: This method is convenient and effective, costing per procedure less than one-tenth of endoscope-mounted band ligators. We recommend its use in preference if magnified views and a photographic record are required. However, its cost and complexity, compared with traditional hemorrhoid banding, may mean that the latter is preferred in the office setting.
ACCESSION #
17632427

 

Related Articles

  • Cost Effectiveness and Efficiency of Reusing Single-use Medical Devices. Santi, Aan; Ismadewi, Risa; Fitriyani, T. R.; Abdullah, Murdani // Indonesian Journal of Gastroenterology, Hepatology & Digestive E;Apr2015, Vol. 15 Issue 1, p25 

    Background: Reusing single-use medical devices is a very important and complicated process since the implementation requires both operational and technical skills, even for professional users. The aim of our study was to determine the cost effectiveness and efficiency of reusing single-use...

  • Patients more satisfied with nurse endoscopists.  // Gastrointestinal Nursing;Mar2009, Vol. 7 Issue 2, p4 

    The article focuses on the study on the clinical and cost effectiveness of nurses who carry out gastrointestinal (GI) endoscopy in health centers in the Great Britain. The study compared the clinical and cost effectiveness of 67 doctors and 30 nurses in performing upper and lower GI endoscopy at...

  • Hemorrhoidal dearterialization with mucopexy versus hemorrhoidectomy: 3-year follow-up assessment of a randomized controlled trial. Denoya, P.; Tam, J.; Bergamaschi, R. // Techniques in Coloproctology;Nov2014, Vol. 18 Issue 11, p1081 

    Background: A randomized controlled trial showed that patients with grade III or IV internal hemorrhoids had similar symptomatic relief of symptoms up to 3 months following dearterialization with mucopexy or hemorrhoidectomy albeit with less postoperative pain after the former. This study aimed...

  • Infections increase death risk by 35% for ICU patients.  // Healthcare Purchasing News;Feb2015, Vol. 39 Issue 2, p14 

    The article discusses a study published in the January 2015 issue of the "American Journal of Infection Control" that reveals the likelihood of elderly patients admitted to intensive care units to die within five years of leaving the hospital if they develop an infection during their stay.

  • A Patient Education Program Is Cost-Effective for Preventing Failure of Endoscopic Procedures in a Gastroenterology Department. Abuksis, G.; Mor, M.; Segal, N.; Shemesh, I.; Morad, I.; Plaut, S.; Weiss, E.; Sulkes, J.; Fraser, G.; Niv, Y. // American Journal of Gastroenterology;Jun2001, Vol. 96 Issue 6, p1786 

    OBJECTIVE: The growing use and complexity of endoscopy procedures in GI units has increased the need for good patient preparation. Earlier studies in this area have focused on the psychological benefits of patient education programs. The present study was directed at determining...

  • Pre-endoscopy omeprazole beneficial for upper GI bleed.  // PharmacoEconomics & Outcomes News;12/1/2007, Issue 542, p6 

    The article focuses on the findings of a study on the cost effectiveness of omeprazole versus placebo prior to endoscopy in patients with upper gastrointestinal (GI) bleeding. It cites that omeprazole would lessen the proportion of patients undergoing endoscopic therapy by 7.9% than placebo. It...

  • The Endoscopy Corner∗. Singal, Sudarshan K.; Barfi, Rafael; Hossain, T. Zahur // American Journal of Gastroenterology;May1977, Vol. 67 Issue 5, p494 

    A new endoscopic technic to introduce a pneumatic dilator through the lower esophageal sphincter is described in a patient with achalasia.

  • Should you reuse markers after designating site?  // Same-Day Surgery;Dec2008, Vol. 32 Issue 12, p127 

    The article offers information on the idea of reusing surgical markers after designating surgical sites as a cost effective measure for hospitals.

  • Use of endoscopy in patients with dyspepsia. Vaira, Dino; Holton, John; Osborn, John; Dowsett, John; McNeil, Ian; Hatfield, Adrian // BMJ: British Medical Journal (International Edition);7/22/89, Vol. 298 Issue 6693, p237 

    Examines the patients with dyspepsia using upper gastrointestinal endoscopy. Percentage of patients with dyspepsia without ulceration who had gastritis on histological examination; Association of gastritis with campylobacter pylory; Consideration of endoscopy as unhelpful in patients with...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics