Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids
Objective: To compare the efficacy of injection sclerotherapy and rubber band ligation in patients with 2nd degree haemorrhoids. Study design & Setting: Prospective Observational study was conducted in PNS Shifa Karachi from 1st July 2018 to 31st March 2019. Methodology: A total of 240 patients...
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| Format: | Article |
| Language: | English |
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Bahria Univerisy Health Sciences, Campus Karachi
2023-04-01
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| Series: | Journal of Bahria University Medical and Dental College |
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| Online Access: | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1112 |
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| author | Zahid Raza Muhammad Jali Waseem Ahmad Khan Jehanzeb Rahman Shahid Abbas Shahid Mahmood |
| author_facet | Zahid Raza Muhammad Jali Waseem Ahmad Khan Jehanzeb Rahman Shahid Abbas Shahid Mahmood |
| author_sort | Zahid Raza |
| collection | DOAJ |
| description |
Objective: To compare the efficacy of injection sclerotherapy and rubber band ligation in patients with 2nd degree
haemorrhoids.
Study design & Setting: Prospective Observational study was conducted in PNS Shifa Karachi from 1st July 2018 to
31st March 2019.
Methodology: A total of 240 patients of both genders, known cases of 2nd degree haemorrhoids were included in the
study. Patients with a known history of liver cirrhosis, previous history of haemorrhoidectomy, severe anaemia uncontrolled
hypertension and patient requiring additional intervention post-procedure were excluded. Patients were randomized to
either the injection sclerotherapy Group A or rubber band ligation Group B by lottery method. Final assessment was done
at 6-months post-procedure regarding the effect of treatment on rectal bleeding.
Results: The age range in this study was from 18 to 65 years with a m e a n of 36.641±7.00 years in Group A
while 35.700± 5.65 years in Group B. Mean BMI was 26.525±1.54 Kg/m2 in Group A and 26.316±1.48 Kg/m2 in
Group B and duration of disease was 7.466±2. 15 months in Group A and 7.883±1.78 months in Group B. Efficacy
was seen in 87.5% patients in Group A as compared to 98.3% in Group B (p=0.001).
Conclusion: Rubber band ligation is more efficacious in the management of 2nd-degree haemorrhoids in terms of perrectal bleeding from 3rd-week to 6 months post-application.
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| format | Article |
| id | doaj-art-0a7dd3bbe2f449fdac2628c9170e4a9e |
| institution | DOAJ |
| issn | 2220-7562 2617-9482 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Bahria Univerisy Health Sciences, Campus Karachi |
| record_format | Article |
| series | Journal of Bahria University Medical and Dental College |
| spelling | doaj-art-0a7dd3bbe2f449fdac2628c9170e4a9e2025-08-20T02:45:06ZengBahria Univerisy Health Sciences, Campus KarachiJournal of Bahria University Medical and Dental College2220-75622617-94822023-04-01130210.51985/JBUMDC2021038Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree HaemorrhoidsZahid RazaMuhammad JaliWaseem Ahmad KhanJehanzeb RahmanShahid AbbasShahid Mahmood Objective: To compare the efficacy of injection sclerotherapy and rubber band ligation in patients with 2nd degree haemorrhoids. Study design & Setting: Prospective Observational study was conducted in PNS Shifa Karachi from 1st July 2018 to 31st March 2019. Methodology: A total of 240 patients of both genders, known cases of 2nd degree haemorrhoids were included in the study. Patients with a known history of liver cirrhosis, previous history of haemorrhoidectomy, severe anaemia uncontrolled hypertension and patient requiring additional intervention post-procedure were excluded. Patients were randomized to either the injection sclerotherapy Group A or rubber band ligation Group B by lottery method. Final assessment was done at 6-months post-procedure regarding the effect of treatment on rectal bleeding. Results: The age range in this study was from 18 to 65 years with a m e a n of 36.641±7.00 years in Group A while 35.700± 5.65 years in Group B. Mean BMI was 26.525±1.54 Kg/m2 in Group A and 26.316±1.48 Kg/m2 in Group B and duration of disease was 7.466±2. 15 months in Group A and 7.883±1.78 months in Group B. Efficacy was seen in 87.5% patients in Group A as compared to 98.3% in Group B (p=0.001). Conclusion: Rubber band ligation is more efficacious in the management of 2nd-degree haemorrhoids in terms of perrectal bleeding from 3rd-week to 6 months post-application. https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1112Prolapsed haemorrhoids, Rubber ligation, Injection Sclerotherapy |
| spellingShingle | Zahid Raza Muhammad Jali Waseem Ahmad Khan Jehanzeb Rahman Shahid Abbas Shahid Mahmood Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids Journal of Bahria University Medical and Dental College Prolapsed haemorrhoids, Rubber ligation, Injection Sclerotherapy |
| title | Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids |
| title_full | Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids |
| title_fullStr | Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids |
| title_full_unstemmed | Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids |
| title_short | Injection Sclerotherapy vs Rubber Band Ligation in the Management of Patients with 2nd Degree Haemorrhoids |
| title_sort | injection sclerotherapy vs rubber band ligation in the management of patients with 2nd degree haemorrhoids |
| topic | Prolapsed haemorrhoids, Rubber ligation, Injection Sclerotherapy |
| url | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1112 |
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