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Quality of life and outcomes after rubber band ligation for haemorrhoidal disease.
Pastor Peinado, Paula; Ocaña, Juan; Abadía Barno, Pedro; Ballestero Pérez, Araceli; Pina Hernández, Juan Diego; Rodríguez Velasco, Gloria; Moreno Montes, Irene; Mendía Conde, Elena; Tobaruela de Blas, Estela; Fernández Cebrián, José María; Die Trill, Javier; García Pérez, Juan Carlos.
Afiliación
  • Pastor Peinado P; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Ocaña J; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain. jocajim@gmail.com.
  • Abadía Barno P; Department of General and Digestive Surgery, Ramon y Cajal University Hospital, Km 9.100- 28034, Madrid, Ctra. Colmenar Viejo, Spain. jocajim@gmail.com.
  • Ballestero Pérez A; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Pina Hernández JD; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Rodríguez Velasco G; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Moreno Montes I; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Mendía Conde E; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Tobaruela de Blas E; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Fernández Cebrián JM; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • Die Trill J; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
  • García Pérez JC; Division of Coloproctology, Department of General and Digestive Surgery, Ramon y Cajal University, Madrid, Spain.
Langenbecks Arch Surg ; 408(1): 243, 2023 Jun 22.
Article en En | MEDLINE | ID: mdl-37349572
PURPOSE: The main objective of this study was to assess the impact on quality of life after rubber band ligation (RBL) in patients with symptomatic grade II-III haemorrhoids who did not improve after 6 months of conservative treatment, using quality of life scores. METHODS: This was a prospective cohort observational study where patients with haemorrhoidal disease and indication for RBL were included between December 2019 and December 2020. RBL was offered as first-line treatment in this group. Patient´s quality of life was assessed by scores: HDSS (Hemorrhoidal Disease Symptom Score) and SHS (Short Health Scale).Secondary objectives were: to evaluate the rate of patients requiring one or more RBL procedures, to establish the overall success rate of RBL and to analyse complications. RESULTS: A total of 100 patients were finally included. Regarding the impact on quality of life after RBL, a significant reduction was found in the HDSS and SHS scores (p < 0.001). The main improvement was found in the first month and it was maintained until the sixth month. A high degree of satisfaction with the procedure was reported by 76% of patients. The overall success rate of banding was 89%. A 12% complication rate was detected, the most frequent complication was severe anal pain (58.3%) and self-limiting bleeding (41.7%). CONCLUSION: Rubber band ligation, as a treatment for symptomatic grade II-III haemorrhoids that do not respond to medical treatment, leads to a significant improvement in patients' symptoms and quality of life. It also has a high degree of satisfaction between patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorroides Tipo de estudio: Etiology_studies / Observational_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Langenbecks Arch Surg Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemorroides Tipo de estudio: Etiology_studies / Observational_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Langenbecks Arch Surg Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania