medigraphic.com
ISSN 1561-3194 (Electronic)

2017, Number 2

<< Back Next >>

Rev Ciencias Médicas 2017; 21 (2)

Effectiveness of endoscopic hemorrhoidal sclerosis two decades after

García CE, Padrón AND

Language: Spanish
References: 12
Page: 187-194
PDF size: 209.08 Kb.


ABSTRACT

Introduction: hemorrhoids are the prolapse of mucosal, submucosal and vascular structures of the rectum through the anal canal with venous plexus dilations, very common in the country.
Objective: to demonstrate the use of endoscopic hemorrhoidal sclerosis in the service of gastroenterology in the provincial hospital chosen along with the comparative study of the cost of the endoscopic methods with the surgical procedure, due to the considerable saving of resources mainly in the area of convertible currencies.
Method: a descriptive and cross-sectional research was carried out on the total number of patients affected and diagnosed with hemorrhoid syndrome (N = 10,000), who underwent clinical and endoscopic treatment by sclerosing method regardless of the degree of hemorrhoids during 1995 to 2014 in Pinar del Río. The procedure is simple, safe, and generally painless. Complications are related to an incorrect approach of application.
Results: 53.2% were women from 16 to 70 years old, according to the degree (I-II-III-IV): I-15.7%, II-21.5%, III-52.7% and 20.1% to IV; 91% resolved with treatment, 2% of cases were surgically treated due to the treatment failure or other complications.
Conclusion: hemorrhoids sclerosis for the degrees I, II, III, IV is an effective method, the possibility of ambulatory management to carry out this technique offers great social and economic benefits both for the patient and the hospital which would result in a huge economic contribution, import substitution, use of drugs and materials.


REFERENCES

  1. 1.Slauf P, Antoš F, Marx J.Complications of hemorrhoids’. Rozhl Chir [Internet]. 2014 Apr [citado 30 Jun 2014]; 93(4): [approx.3 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/24881480

  2. Roig Vila JV, García Armengol J. Guía de Cirugía Colorrectal de la AEC-2012. En:Ortiz H. Ed. GUÍA DE PRÁCTICA CLÍNICA: HEMORROIDES. [Internet] Madrid. Centro Europeo; 2015. [Citado el 20 de enero de 2017]. [Aprox. 10p.]. Disponible en: http://ucpvalencia.es/wp-content/uploads/2015/10/Gu%C3%ADa-de-cuidados-Hemorroides.pdf

  3. Quirurgica Cirujanos asociados. Tratamiento de las hemorroides. [Internet]España, Barcelona; febrero 8, 2017 [Actualizado en enero de 2017; Citado el 20 de enero de 2017]. Disponible en: http://www.quirurgica.com/enfermedad/tratamiento-hemorroides/

  4. Wainstein RA. Laser para tratar las hemorroides. [Internet] Mia, Asociación Argentina de Cirugia; 2015 [Actualizado en enero de 2017; Citado el 20 de enero de 2017]. Disponible en: http://mia.perfil.com/2015-04-09-6645-laser-para-tratar-hemorroides/

  5. 5.Márquez S, Silverio M, Acosta C, Márquez D, Acosta M. Técnica de ligadura y esclerosis asociada a resección con electrocoagulación de hemorroides internas. GEN. 1991; 45(2):114-8.

  6. Mushaya CD, Caleo PJ, Bartlett L, Buettner PG, Ho YH. Harmonic scalpel compared with conventional excisional haemorrhoidectomy: a meta-analysis of randomized controlled trials. Tech Coloproctol [Internet].2014 Jun-13 [citado 30 Jun 2014]; 18(11): [Aprox. 7p.].Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/24925353

  7. 7.Farreras-Rozman. Medicina Interna. 13ed. Vol 1. La Habana: Editorial Ciencias Médicas; 2011.

  8. Paniagua-Piñol. Gastroenterología y hepatología clínicas. T5. La Habana: Editorial Ciencias Médicas; 2014.

  9. Aggrawal K, Satija N, Dasgupta G, Dasgupta P, Nain P, Sahu AR. Efficacy of a standardized herbal preparation (Roidosanal (®)) in the treatment of hemorrhoids: A randomized, controlled, open-label multicentre study. J Ayurveda Integr Med [Internet].2014 Apr [citado 30 Jun 2014]; 5(2): [Aprox. 8 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/24948863

  10. de Miguel M, Fabiola Oteiza F, Ciga MA, Ortiz H. Tratamiento Quirurgico de las hemorroides. Revista Cirugia Española.[Internet].dic 2005 [citado 30 Jun 2014]; 78 (Supl 3): [Aprox. 8p.]. Disponible en: http://www.elsevier.es/es-revista-cirugia-espanola-36-articulo-tratamiento-quirurgico-las-hemorroides-13083394

  11. Rodríguez Alarcón A. Hemorroides, el problema oculto de millones de españoles.DSalud. [Internet]. Dic 1999 [citado 4 Junio 2015]; (11)https://www.dsalud.com/reportaje/hemorroides-el-problema-oculto-de-millones-de-espanoles/

  12. An AY, Feng DY, Wang CH, Shi YY, Xiang JJ, Bai ZY, et al. Comparing the effect of An's Shaobei Injection () with Xiaozhiling Injection () in patients with internal haemorrhoids of grade I-III: A prospective cohort study. Chin J Integr Med [Internet]. 2014 Jul. [citado 30 Jun. 2014]; 20(7): [Aprox. 5 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/24972583




2020     |     www.medigraphic.com