Hämorrhoidalleiden: konservative und minimal-invasive Therapieverfahren
摘要
Hemorrhoids affect a large proportion of adults over the course of their lives and are considered a common condition. With the help of basic measures and conservative or minimally invasive therapies, they can be effectively treated.
ObjectiveThis work provides an overview of available treatment options. The correct application of sclerotherapy and rubber band ligation is described.
Materials and methodsEvaluation of basic research articles, comparative studies of different techniques, and current guidelines.
ResultsSclerotherapy has been shown to achieve a success rate ranging from 52% to 97% after 1 year for grade 1 and 2 hemorrhoids. Rubber band ligation for grade 2 hemorrhoids leads to an improvement of symptoms in 75–90% of cases and is, therefore, superior to surgery due to a lower complication rate. In grade 3 hemorrhoids, the recurrence rate is higher compared to surgical treatment, as demonstrated by the HollAND study.
DiscussionIn addition to basic therapy, sclerotherapy and rubber band ligation—when selected appropriately according to disease stage—are very well suited for long-term treatment of hemorrhoids and for preventing disease progression.
ConclusionOptimization of bowel habits and stool consistency is essential for preventing hemorrhoidal symptoms. When symptoms occur, there are effective treatment options available.