PMID: 14692955Dec 25, 2003

Ano-rectal physiological changes after rubber band ligation and closed haemorrhoidectomy

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A BursicsK Morvay

Abstract

The effect of treatment for haemorrhoids on ano-rectal physiology was studied in a prospective longitudinal follow-up study. Thirty-six consecutive patients having II-III degree (Group I, 18 patients) or IV degree (Group II, 18 patients) haemorrhoids were studied. Group I underwent rubber band ligation while Group II underwent closed scissors haemorrhoidectomy. Patients in Group I had significantly lower maximum basal pressure (P < 0.05) and also significantly lower maximum squeeze pressure (P < 0.05) compared to Group II before treatment. Both basal and squeeze pressures dropped after haemorrhoidectomy (P < 0.001) whereas they remained unchanged after rubber band ligation (P > 0.1). The volume of first sensation was higher in Group II before treatment (P < 0.001) and remained so after treatment. Rectal compliance was higher (P < 0.005) in Group I before treatment. It increased significantly in both groups (P < 0.05, Group I; P < 0.001, Group II) after treatment. The results show a significant increase in anal pressures in constantly prolapsing (IV degree) haemorrhoids. Most of the physiological differences observed between the two groups were abolished after treatment. This suggests that these may be a consequence rather than ...Continue Reading

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Citations

Jul 25, 2006·International Journal of Colorectal Disease·R PattiG Di Vita
Jun 4, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C J PetersD G Jayne
Nov 26, 2008·World Journal of Gastroenterology : WJG·Ayman-M El NakeebMohamed-E Farid
Oct 11, 2016·World Journal of Gastrointestinal Surgery·Andreia Albuquerque

Related Concepts

Anal Canal
Hemorrhoids
Ligature
Tonometry
Gastrointestinal Surgical Procedure

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