We present a case of a 45-year-old patient who reported bleeding hemorrhoids. He had grade II hemorrhoids and was found to have a circumferential leukoplakic lesion at the anal verge. The patient had no symptoms of leukoplakia. The hemorrhoids were ablated with an Ellman radiowave device. Histological findings of the incised lesion from the verge showed hyperkeratosis and acanthosis extending c...

We report a case of advanced grades of bleeding hemorrhoids in a 10-yrs-old boy, who had a history of bleeding per rectum since he was 5 year of age. The diagnosis was made on anoscopic examination after ruling out other colorectal pathologies by a full-length colonoscopy. There was no evidence of portal hypertension. He was successfully treated with radiofrequency ablation and plication of hem...

introduction: constipation is one of the most common complaints of individuals, which may present with complication like hemorrhoid and fissure. hirschsprung is a disease presenting with chronic constipation and its diagnosis may be delayed until adulthood. it is diagnosed by biopsies from anorectal transitional zone. this study aimed to evaluate the association between hirschsprung and anorect...

Hemorrhoids are one of the commonly reported anorectal disorders and a worldwide problem. It has prevalence rate of 4.4% in the United States [1]. However; no epidemiological data is available for India, but considered to be higher in Indian population. Most of the patients who turned up late to the hospitals, presented with advanced disease (Grade III or IV). The treatment options for hemorrho...

13 INTRODUCTION Most physicians perceive hemorrhoids as pathologic. In fact, hemorrhoids are normal anatomic structures, as demonstrated by their presence in babies (1). Patients and physicians may initially ascribe symptoms of rectal bleeding and pain to hemorrhoids without considering the other likely and more dangerous possibilities such as colorectal cancer. Hemorrhoidal disease is clearly ...

The current patho-physiologies of hemorrhoids include the degenerative change of supportive tissue within the anal cushions, vascular hyperplasia, and hyper perfusion of the hemorrhoidal plexus. On the one hand hemorrhoidectomy has been the mainstay of surgical treatment, while more recently other approaches have been employed including stapled hemorrhoidopexy and Dopplerguided hemorrhoidal art...

Clinical hemorrhoids are exceedingly common especially in the Western civilized world. It is difficult to assess their incidence but it is known to increases markedly with age; %50 of the population over 50 years of age have asymptomatic or symptomatic hemorrhoids (1). External hemorrhoids form in the skin tissue surrounding the anal opening. As a rule, their symptoms tend to be itching, burnin...

PURPOSE Circular stapled hemorrhoidopexy (CSH) is widely used to treat patients with grades III-IV hemorrhoids because of less pain and short hospital stay. However, this procedure is associated with some complications, such as urge to defecate, anal stenosis, staple line dehiscence, abscess and sepsis. To avoid these complications, surgeons perform a partial stapled hemorrhoidopexy (PSH). The ...

Injection therapy has a long history of being used for the treatment of hemorrhoids. However, the previous results on injection therapy for its complication rates and severity were not promising [1]. In this respect, aluminum potassium sulfate and tannic acid (ALTA) therapy could be a new promising option for the treatment of internal hemorrhoids [2]. However, some complications have been repor...

Background: This study assessed the efficacy of endoscopic hemorrhoidal ligation for treatment of patients with symptoms caused by internal hemorrhoids. Methods: A total of 576 consecutive patients with symptoms caused by internal hemorrhoids were enrolled in the study. Symptoms were rectal bleeding (239 patients) and prolapse (337 patients). The severity of the hemorrhoids was classified by us...