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Nonsurgical treatment of actively bleeding internal hemorrhoids with a novel endoscopic device (with video)

机译：用新型内窥镜装置积极出血内痔的非诊断治疗（带视频）

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Background: Internal hemorrhoids often present with bleeding, prolapse, and other symptoms. Currently used nonsurgical treatment modalities have limited effectiveness and usually require several treatment sessions.Objective: To evaluate effectiveness and safety of a novel endoscopic device for nonsurgical treatment of internal hemorrhoids.Design: Retrospective study.Setting: Single center.Patients: This study involved 23 patients with actively bleeding internal hemorrhoids.Intervention: The HET Bipolar System is a modified anoscope, with a treatment window, light source, and tissue temperature monitor. The device is inserted into the rectum under direct observation. The tissue carrying superior hemorrhoidal branches and the apex of the internal hemorrhoid is positioned inside the treatment window, clamped with incorporated tissue forceps, and treated with bipolar energy to ligate hemorrhoidal feeding vessels.Main Outcome Measurements: Rate of hemorrhoidal bleeding after the treatment.Results: The mean age of the patients was 64.3 ±9.9 years (range 44-79 years). Eleven patients (47.8%) had grade I hemorrhoids and 12 patients (52.2%) had grade II hemorrhoids. In 18 patients (78.3%), treatment with the HET System was performed with the patient under conscious sedation. Five patients (21.7%) were treated without sedation. All patients tolerated treatment without complaints. The average follow-up period was 11.2 ± 4.7 months. No bleeding or prolapse occurred after the procedure in any of the treated patients.Limitations: Retrospective study.Conclusion: The newly developed HET System is easy to use, safe, and highly effective in eliminating bleeding in grade I and II internal hemorrhoids and prolapse in grade II internal hemorrhoids.
机译：背景：内痔通常存在出血，脱垂和其他症状。目前使用的非工术治疗方式有限，通常需要几种治疗课程。目的：评估新型内窥镜装置的效果和安全性，用于内痔的非静脉治疗。设计：回顾性研究。诱惑：单一中心。本研究涉及23患者积极出血内痔。特性：HET双极系统是一种改进的涂层镜，具有治疗窗口，光源和组织温度监测器。该装置在直接观察下插入直肠。携带优异的痔疮的组织和内痔的顶点位于治疗窗口内，夹紧掺入的组织钳，并用双极能量处理，以加入痔疮饲料容器。治疗后痔疮出血的速率。结果：患者的平均年龄为64.3±9.9岁（范围44-79岁）。 11名患者（47.8％）患者痔疮等级，12名患者（52.2％）有II级痔疮。在18名患者中（78.3％），在有意识镇静下用患者进行HET系统的处理。在没有镇静的情况下治疗五名患者（21.7％）。所有患者耐受治疗而不抱怨。平均随访时间为11.2±4.7个月。在任何治疗的患者中的程序后没有发生出血或脱垂II级内痔。

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