Band ligation is the best treatment for patients that bleed or have bothersome symptoms and do not improve with medical treatment
The canal of the anus is a tube about three to four centimeters long. In it there are veins to the internal and external part and they are
called hemorrhoidal bearings. These are very important to form a seal in the anus and prevent stool from accidentally leaking out.
When these veins become inflamed or irritated, they increase in size and produce symptoms such as bleeding, excessive discharge
of mucus from the anus, a sensation of prolapse, and that is when they are called internal hemorrhoids. The main causes for them to
appear are being constipated, having diarrhea or incontinence of fecal matter
The diagnosis is made through flexible rectosigmoidoscopy or with a total colonoscopy. They graduate according to how much they
exit the anus canal. In grade I hemorrhoids do not leave the anus. In grade II they leave the anus but spontaneously hide again. In grade
III they remain outside but can be entered with the finger. In grade IV hemorrhoids are outside the anus and cannot be re-entered
Band ligation is endoscopic treatment for Grade I / II / III internal hemorrhoids with symptoms that have not improved with medical
management. In this way this problem is solved avoiding surgery
The procedure is performed with sedation and on an outpatient basis and consists of using a disposable device attached to the tip of
the endoscopy equipment to tie the hemorrhoids with plastic bands so that they dry and disappear.
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