Rubber band ligation of hemorrhoids: relapse as a function of time

Article Article scientifique Article Rubber band ligation of hemorrhoids: relapse as a function of time eng 1998 author Savioz Daniel 33023 author Roche Bruno 134085 author Glauser Thierry 30057 author Dobrinov Alexandru 41040 author Ludwig Corinna 37291 author Marti Marc-Claude 21987 154-156 10.1007/s003840050156 9810517 0179-1958 Rubber band ligation is a well established treatment of internal second-degree hemorrhoids. Up to now, the long-term results (> 5 years) of this method have not been assessed. The aim of this study was to determine the long-term success rate of rubber band ligation in patients with a first episode of second-degree hemorrhoids not responding to medical treatment (local cream with laxative). A total of 92 patients who were treated between 1979 and 1997 for second-degree hemorrhoids responded to a questionnaire. The need for complementary conservative (sclerotherapy, cryotherapy or rubber band ligation) or surgical treatment was considered indicative of relapse. The collected data were analyzed according to the Kaplan-Meier method. The average follow-up time was 5.6 years. There were 21 patients who suffered a relapse. The probability of successful treatment was 0.77 (range: 0.67-0.88) after 5 years and 0.68 (range: 0.5-0.86) after 10.6 years. We conclude that rubber band ligation represent an efficient long-term treatment for second-degree hemorrhoids. Approximately two thirds of the patients are cured after 5 years and more than a half after 10 years. Female Follow-Up Studies Hemorrhoids/epidemiology/surgery Humans Ligation/methods Male Middle Aged Recurrence Retrospective Studies Time Factors Treatment Outcome Dewey 617 57 Département de chirurgie 222 false 79 Chirurgie viscérale 104 1329 Chirurgie viscérale (HUG) 69 Groupe Bruno Roche (chirurgie colo-rectale) 92 International journal of colorectal disease 13 4 63ce6de2-df30-43a8-ab20-2e11f42b580b Article (Published version) Restricted art%3A10.1007%2Fs003840050156.pdf 53083 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Rubber band ligation of hemorrhoids: relapse as a function of time	International journal of colorectal disease			1998	758	0

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Dobrinov, Alexandru