Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding

Achieving hemostasis during post-hemorrhoidectomy bleeding (PHB) is often challenging owing to poor visibility within the anal canal. We investigated the feasibility of using endoscopy for observation and maintaining hemostasis during PHB. Endoscopic evaluation was performed in patients with normal...

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Main Authors: Katsuhisa Ohashi, Katsuhide Ohashi, Akinori Sasaki, Kazuyoshi Ota, Kazutomo Kitagawa
Format: Article
Language:English
Published: The Japan Society of Coloproctology 2025-01-01
Series:Journal of the Anus, Rectum and Colon
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jarc/9/1/9_2024-081/_pdf/-char/en
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author Katsuhisa Ohashi
Katsuhide Ohashi
Akinori Sasaki
Kazuyoshi Ota
Kazutomo Kitagawa
author_facet Katsuhisa Ohashi
Katsuhide Ohashi
Akinori Sasaki
Kazuyoshi Ota
Kazutomo Kitagawa
author_sort Katsuhisa Ohashi
collection DOAJ
description Achieving hemostasis during post-hemorrhoidectomy bleeding (PHB) is often challenging owing to poor visibility within the anal canal. We investigated the feasibility of using endoscopy for observation and maintaining hemostasis during PHB. Endoscopic evaluation was performed in patients with normal vital signs and no severe pain or excessive bleeding was observed during proctoscopy. Hemostatic clipping was performed if the bleeding site was clearly identified. In cases with profuse bleeding and endoscopic hemostasis deemed difficult, surgical hemostasis was performed. Of the 14 patients who developed PHB during the 3-year study period, endoscopic observation was performed in 6 cases. Arterial bleeding was confirmed in five of these cases; while, spontaneous hemostasis had already occurred in the remaining case. Hemostasis was achieved with endoscopic clipping in all cases. The mean procedure time was 14.7 minutes with no adverse events or re-bleeding. Endoscopic evaluation for PHB provides a detailed view of the bleeding site and facilitates hemostasis using clips.
format Article
id doaj-art-0c54ffe295bd4dd79594948823ebf268
institution Kabale University
issn 2432-3853
language English
publishDate 2025-01-01
publisher The Japan Society of Coloproctology
record_format Article
series Journal of the Anus, Rectum and Colon
spelling doaj-art-0c54ffe295bd4dd79594948823ebf2682025-01-27T10:02:41ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532025-01-019116216510.23922/jarc.2024-0812024-081Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy BleedingKatsuhisa Ohashi0Katsuhide Ohashi1Akinori Sasaki2Kazuyoshi Ota3Kazutomo Kitagawa4Ohashi Icho Komon Geka IinOhashi Icho Komon Geka IinJuzen General HospitalJuzen General HospitalJuzen General HospitalAchieving hemostasis during post-hemorrhoidectomy bleeding (PHB) is often challenging owing to poor visibility within the anal canal. We investigated the feasibility of using endoscopy for observation and maintaining hemostasis during PHB. Endoscopic evaluation was performed in patients with normal vital signs and no severe pain or excessive bleeding was observed during proctoscopy. Hemostatic clipping was performed if the bleeding site was clearly identified. In cases with profuse bleeding and endoscopic hemostasis deemed difficult, surgical hemostasis was performed. Of the 14 patients who developed PHB during the 3-year study period, endoscopic observation was performed in 6 cases. Arterial bleeding was confirmed in five of these cases; while, spontaneous hemostasis had already occurred in the remaining case. Hemostasis was achieved with endoscopic clipping in all cases. The mean procedure time was 14.7 minutes with no adverse events or re-bleeding. Endoscopic evaluation for PHB provides a detailed view of the bleeding site and facilitates hemostasis using clips.https://www.jstage.jst.go.jp/article/jarc/9/1/9_2024-081/_pdf/-char/enpost-hemorrhoidectomy bleeding (phb)hemorrhoidectomyendoscopic hemostasis
spellingShingle Katsuhisa Ohashi
Katsuhide Ohashi
Akinori Sasaki
Kazuyoshi Ota
Kazutomo Kitagawa
Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
Journal of the Anus, Rectum and Colon
post-hemorrhoidectomy bleeding (phb)
hemorrhoidectomy
endoscopic hemostasis
title Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
title_full Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
title_fullStr Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
title_full_unstemmed Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
title_short Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding
title_sort efficacy of endoscopic evaluation and hemostatic intervention for post hemorrhoidectomy bleeding
topic post-hemorrhoidectomy bleeding (phb)
hemorrhoidectomy
endoscopic hemostasis
url https://www.jstage.jst.go.jp/article/jarc/9/1/9_2024-081/_pdf/-char/en
work_keys_str_mv AT katsuhisaohashi efficacyofendoscopicevaluationandhemostaticinterventionforposthemorrhoidectomybleeding
AT katsuhideohashi efficacyofendoscopicevaluationandhemostaticinterventionforposthemorrhoidectomybleeding
AT akinorisasaki efficacyofendoscopicevaluationandhemostaticinterventionforposthemorrhoidectomybleeding
AT kazuyoshiota efficacyofendoscopicevaluationandhemostaticinterventionforposthemorrhoidectomybleeding
AT kazutomokitagawa efficacyofendoscopicevaluationandhemostaticinterventionforposthemorrhoidectomybleeding