Gravante Gianpiero
Department of General Surgery, Azienda Sanitaria Locale (ASL) Lecce, Casarano 73042, Lecce, Italy.
World J Gastroenterol. 2025 Feb 28;31(8):98704. doi: 10.3748/wjg.v31.i8.98704.
Treatments for low degree hemorrhoids (I-III degree) are numerous and so are their counterparts for higher degrees. These treatments present nebulous differences in terms of indications and outcomes among techniques. Methods previously abandoned due to side effects and long-term results have recently rejoined the mainstream due to recent peculiar modifications: Hemorrhoidal sclerotherapy is enjoying a new age of interest due to the use of the foam form of polidocanol, which is more effective than the liquid one. Various articles have already shown promising results and the logical next step is the combination of polidocanol foam with rubber-band ligation (the historical counterpart of sclerotherapy) in a technique called "sclerobanding". In this article, we comment on the publication by Qu further modifying the use of sclerobanding through an endoscopic delivery for patients with grade II-III internal hemorrhoids, and present results compared with endoscopic rubber band ligation. The results achieved are promising.
低度痔疮（I - III度）的治疗方法众多，高度痔疮的治疗方法同样如此。这些治疗方法在技术的适应症和疗效方面存在模糊的差异。由于副作用和长期效果而先前被摒弃的方法，近来因一些特殊的改进而重新回归主流：硬化剂注射疗法因使用聚多卡醇泡沫剂而迎来了新的关注时期，聚多卡醇泡沫剂比液体剂型更有效。各种文章已经显示出了有前景的结果，合乎逻辑的下一步是在一种名为“硬化套扎术”的技术中将聚多卡醇泡沫剂与橡皮圈套扎术（硬化剂注射疗法的传统对应方法）相结合。在本文中，我们对屈氏等人的出版物进行评论，该出版物通过内镜给药进一步改进了II - III度内痔患者的硬化套扎术的应用，并呈现了与内镜橡皮圈套扎术相比的结果。所取得的结果很有前景。
