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[Interventional radiology for chronic hemorrhoids complicated by hemorrhage]
E V Galkin1, A M Iavisia, P A Vdovenko
1Department of Radiation Diagnosis, Road Hospital, Krasnoyarsk Station.
Vestnik Rentgenologii I Radiologii
|February 13, 1999
Summary
This study introduces a novel X-ray endovascular embolization technique for treating hemorrhoids by targeting the superior hemorrhoidal artery. This minimally invasive approach shows advantages over traditional hemorrhoidectomy for chronic hemorrhoid bleeding.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Interventional Radiology
Background:
- Hemorrhoids result from abnormal changes in rectal cavernous bodies.
- Chronic hemorrhoids often present with complications like bleeding.
- Traditional treatments like Milligan-Morgan hemorrhoidectomy can be invasive.
Purpose of the Study:
- To evaluate a new minimally invasive treatment for hemorrhoids.
- To compare X-ray endovascular embolization with conventional hemorrhoidectomy.
- To assess the efficacy of selective dearterialization of hyperplastic cavernous tissue.
Main Methods:
- Analysis of outcomes from 337 Milligan-Morgan hemorrhoidectomies.
- Analysis of outcomes from 49 X-ray endovascular embolizations of the superior hemorrhoidal artery.
- Superselective X-ray endovascular catheterization and embolization of superior hemorrhoidal artery distal branches.
Main Results:
- X-ray endovascular embolization offers an alternative to conventional hemorrhoidectomy.
- The study highlights the advantages of the endovascular approach for hemorrhoid treatment.
- Detailed outcomes comparing the two methods were analyzed.
Conclusions:
- X-ray endovascular embolization of the superior hemorrhoidal artery is an effective treatment for chronic hemorrhoids with bleeding.
- This minimally invasive technique presents significant advantages over traditional surgical interventions.
- Selective dearterialization via embolization provides a promising therapeutic option.