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Title

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

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Published in International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery. 1998, vol. 13, no. 4, p. 154-6
Abstract 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.
Keywords FemaleFollow-Up StudiesHemorrhoids/epidemiology/surgeryHumansLigation/methodsMaleMiddle AgedRecurrenceRetrospective StudiesTime FactorsTreatment Outcome
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PMID: 9810517
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Structures
Research groups Chirurgie viscérale (104)
Groupe Bruno Roche (chirurgie colo-rectale) (92)
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SAVIOZ, Daniel et al. Rubber band ligation of hemorrhoids: relapse as a function of time. In: International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery, 1998, vol. 13, n° 4, p. 154-6. https://archive-ouverte.unige.ch/unige:74253

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Deposited on : 2015-07-22

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