Department of Radiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China.
World J Gastroenterol. 2024 Nov 14;30(42):4583-4586. doi: 10.3748/wjg.v30.i42.4583.
In the study, we comment on the article by Qu . Internal hemorrhoids are the most common anorectal disorders worldwide with bleeding, prolapse, and difficulty in defecation. Endoscopic rubber band ligation (ERBL) is a safe, convenient, quick, and economical outpatient procedure. The main goal of ERBL is to alleviate prolapse, but the high incidence of recurrence and post-procedural pain are of clinical concern. Polidocanol foam as a local hemostatic and anesthetic agent could reduce the rates of post-procedural pain and bleeding. Endoscopic polidocanol foam sclerobanding (EFSB) is a novel approach that could lift the mucosa for easy ligation and promote increased scarring in the submucosal tissue which translates into long-term relief from prolapse recurrence and reduced 24-h post-procedural pain. The study by Qu is a novel multi-center prospective randomized study to compare ERBL and EFSB in patients with grades II and III internal hemorrhoids with one-year follow-up. Results showed that EFSB is a novel therapy for internal hemorrhoids, but future studies with a larger sample, multiple treatment sessions, and long-term follow-up are required to confirm these findings.
在研究中，我们对 Qu 的文章进行了评论。内痔是全球最常见的肛肠疾病，其症状包括出血、脱垂和排便困难。内镜橡皮圈结扎术（ERBL）是一种安全、方便、快捷且经济的门诊手术。ERBL 的主要目的是缓解脱垂，但复发率高和术后疼痛是临床关注的问题。聚多卡醇泡沫作为局部止血和麻醉剂，可以降低术后疼痛和出血的发生率。内镜聚多卡醇泡沫硬化套扎术（EFSB）是一种新的方法，可以提起黏膜以便于结扎，并促进黏膜下组织中瘢痕形成，从而长期缓解脱垂复发和减轻 24 小时术后疼痛。Qu 的研究是一项新的多中心前瞻性随机研究，比较了 ERBL 和 EFSB 治疗 II 级和 III 级内痔的疗效，随访时间为 1 年。结果表明，EFSB 是一种治疗内痔的新方法，但需要进一步的研究，包括更大的样本量、多次治疗和长期随访，以证实这些发现。
