Not going the route of hemorrhoid banding?

What are hemorrhoids?

Hemorrhoids are swollen veins that become distended in the rectum or anus, presenting similarly to how varicose veins do in the legs. There are two hemorrhoid types: internal and external hemorrhoids. Internal hemorrhoids are located under the mucous membranes along the lower rectum. External hemorrhoids occur underneath the skin surrounding the anus.

Typically, external hemorrhoids cause the most discomfort, as they involve the external skin that becomes irritated. A blood clot can also form inside an external hemorrhoid, which can be particularly painful and unpleasant. The clot can also produce excess skin, which can become itchy.

Internal hemorrhoids are not as symptomatic, even if they start to bleed. With these hemorrhoids, you may notice blood when wiping with toilet paper or using the bathroom. You may also experience external itching. However, internal hemorrhoids can cause a host of other complications 1.

Do hemorrhoids go away on their own? How do you treat hemorrhoids?

Hemorrhoid symptoms can usually be treated at home with some easy home remedies. These treatment methods and preventative methods can include things such as sitz baths, topical medication relief, fiber, and exercise.

Unfortunately, some hemorrhoid cases are unable to be managed at home. This can happen when symptoms do not go away or when an internal hemorrhoid prolapses. In these instances, a doctor will need to intervene and perform one of several procedures available to treat the hemorrhoid. These are typically done under a surgeon and at a hospital. One such procedure involves hemorrhoid banding.

Artery embolization is also a preferred treatment for hemorrhoids and can be performed by an MTV IR specialist. Find out more here – Lower GI Artery Embolization

What does banding hemorrhoids involve?

Hemorrhoid banding is one of the most common ways to treat hemorrhoids. In this procedure, a small elastic band I put around the hemorrhoid, thereby “ligating” it. The elastic causes the hemorrhoid to get smaller in size and helps to scar the nearby tissue. Thus, the hemorrhoid is kept in its place. Normally, this method requires anywhere from two to four procedures, completed six to eight weeks apart from each other.

What are the complications associated with hemorrhoid banding?

Although an effective method, hemorrhoid banding can cause a few complications and side effects. Most commonly, hemorrhoid banding can cause minimal bleeding, trouble urinating, persistent or painful erections, band slipping, anal fissures, or ulcers. More serious and rare complications include serious bleeding, severe pain, pelvic sepsis, infection, and trouble urinating.

What other treatment options are there?

If hemorrhoid banding does not sound like the right fit for you, there are several other options for hemorrhoid treatment that are both safe and highly effective. For a more convenient option that can be done in the office, patients can undergo sclerotherapy, cryosurgery, or laser or infrared coagulation. Sclerotherapy involves the injection of a special chemical to destroy hemorrhoid tissue. Coagulation utilizes a method to stop blood flow to the hemorrhoid, thereby destroying it.

Other surgical methods involve hemorrhoidectomy or stapling. A hemorrhoidectomy is performed under anesthesia by a surgeon, where prolapsed internal hemorrhoids or large external hemorrhoids are removed. Another surgical option involves stapling, in which a surgeon staples the hemorrhoids while you are under the anesthesia.

Now that you have a better awareness of Hemorrhoids, turn that awareness into action. If you are experiencing hemorrhoids symptoms , see your local provider. And if you have been hemorrhoids or a lower GI Bleed, ask your physician about treatment with MTV IR.

References
Hemorrhoids and what to do about them. (2013, October 7). Harvard Health. https://www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them
Albuquerque, A. (2016). Rubber band ligation of hemorrhoids: A guide for complications. World Journal of Gastrointestinal Surgery, 8(9), 614–620. https://doi.org/10.4240/wjgs.v8.i9.614
Hemorrhoids treatment, symptoms, causes, prevention. (n.d.). Cleveland Clinic. Retrieved May 5, 2022, from https://my.clevelandclinic.org/health/diseases/15120-hemorrhoids

What is a GI Bleed?

Gastrointestinal (GI) bleeds are a common condition; however, they can be serious as well as life-threatening. As a result, GI bleeds result in approximately 140,000 hospital admissions yearly and roughly 5,000 deaths annually in the U.S. Such an event also costs an average of $6,000 for each admission1. Likewise, GI bleeds pose a serious medical and financial burden to those that suffer from them. Lower GI bleeds also disproportionately affect the elderly population, and they are usually caused by GI conditions such as hemorrhoids, diverticulosis, colon polyps, or tumors. If you have a GI bleed, you may experience vomit that is red or coffee ground-like or stool that is tarry, black, or bloody.

How are GI Bleeds treated?

Traditionally, two procedures have been the mainstay of diagnosis and treatment of GI bleeds: endoscopies and colonoscopies. However, these procedures are not always successful. For example, roughly 10 to 15 percent of endoscopic-treated upper GI bleeds will have persistent bleeding after treatment. Traditionally, failed cases have been managed surgically. Recently, though, medical advancements have led to breakthroughs in the availability of embolic agents as well as catheter size and design. This has led to the development of artery embolization, a relatively new method used to treat lower GI bleeds.

Artery embolization is now a preferred method for treating lower GI bleeds, particularly when surgery or vasopressin therapy is unrealistic.

What is artery embolization?

Artery embolization is now a preferred method for treating lower GI bleeds, particularly when surgery or vasopressin therapy is unrealistic. To analyze the benefits of this procedure, one study evaluated patients receiving super-selective arterial embolization in 31 patients. In total, 26 patients qualified to undergo embolization, of which 100 percent achieved sufficient control of their GI bleeds. Only one patient had recurrent GI bleeding after the operation. Bowel infarction, a potential risk of the procedure, occurred in none of the patients that underwent embolization. This study, therefore, demonstrated the profound safety and effectiveness of artery embolization for treating a GI bleed.

What happens during artery embolization?

During artery embolization, your doctor will numb your skin where the catheter will be inserted. They will then place the catheter into a blood vessel in your arm or upper thigh. With the help of moving X-ray imaging, your provider will move the tube within the blood vessel to the area of interest. Once at the bleeding site, your doctor will release special materials via the catheter to stop the bleeding. The bleeding can be blocked using gelfoam, plastic particles, metal coils, plugs, or medical glue.

What are the risks of artery embolization?

There are a few risks associated with undergoing artery embolization. These include:

• Blood vessel injury
• Nearby organ or tissue injury (this occurs if the material that blocks the blood vessel infiltrates other areas)
• Bleeding or bruising at the puncture site
• Kidney injury
• Allergic reaction to the contrast dye used in the procedure
• Infection

Though there are some potential risks of artery embolization, the procedure is relatively safe. Some studies have actually demonstrated that artery embolization may be safer than surgery.

Now that you have a better awareness of Lower GI Bleeds, turn that awareness into action. If you are experiencing symptoms of a Lower GI Bleed or Hemorrhoids, see your local provider. And if you have been diagnosed with a Lower GI Bleed or Hemorrhoids, ask your physician about treatment with MTV IR.

References

http://fyra.io. (n.d.). Embolization options for gastrointestinal hemorrhage. Endovascular Today. Retrieved May 4, 2022, from https://evtoday.com/articles/2020-apr/embolization-options-for-gastrointestinal-hemorrhage
Gastrointestinal bleed embolization | portland & oregon city. (n.d.). Retrieved May 4, 2022, from https://ivcnorthwest.com/treatment/gastrointestinal-bleed-embolization/
Širvinskas, A., Smolskas, E., Mikelis, K., Brimienė, V., & Brimas, G. (2017). Transcatheter arterial embolization for upper gastrointestinal tract bleeding. Videosurgery and Other Miniinvasive Techniques, 12(4), 385–393. https://doi.org/10.5114/wiitm.2017.72319
Lv, L.-S., & Gu, J.-T. (2019). Super-selective arterial embolization in the control of acute lower gastrointestinal hemorrhage. World Journal of Clinical Cases, 7(22), 3728–3733. https://doi.org/10.12998/wjcc.v7.i22.3728