Combined colonoscopy and three-quadrant hemorrhoidal ligation: 500 consecutive cases

Area of Science:

• Gastroenterology
• Colorectal Surgery

Background:

• Symptomatic internal hemorrhoidal disease often requires intervention.
• Patients needing colonoscopy may also have concurrent hemorrhoidal issues.

Purpose of the Study:

• To evaluate the safety and efficacy of combining outpatient colonoscopy with simultaneous three-quadrant hemorrhoidal ligation.
• To assess the outcomes of this combined procedure for internal hemorrhoids.

Main Methods:

• A four-year analysis of 500 patients undergoing combined colonoscopy and synchronous three-quadrant hemorrhoidal ligation.
• Procedures performed under moderate sedation, followed by ligation using specialized instruments.
• Outcomes tracked, including repeat ligation, surgical intervention, and 30-day readmission rates.

Main Results:

• 93.4% of patients experienced complete symptom resolution.
• Only 6.6% required repeat ligation, and 2.2% needed surgical hemorrhoidectomy.
• No admissions for bleeding, pelvic sepsis, or emergent surgical intervention were reported.

Conclusions:

• Simultaneous colonoscopy and three-quadrant hemorrhoidal ligation is a safe and effective treatment.
• The combined procedure offers convenience and efficient use of resources for physicians and patients.