HEMORRHOIDAL BLEEDING IN CHRONIC SPINAL-CORD INJURY - RESULTS OF MULTIPLE BANDING

被引：7

作者：

COSMAN, BC

EASTMAN, DA

PERKASH, I

STONE, JM

机构：

[1] Spinal Cord Injury Service, Department of Veterans Affairs Medical Center, Palo Alto, California

[2] Department of Surgery, Stanford University Medical Center, Stanford, California

[3] Department of Urology, Stanford University Medical Center, Stanford, California

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1994年 / 9卷 / 04期

关键词：

D O I：

10.1007/BF00292243

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Most patients with chronic spinal cord injury (SCI) have hemorrhoidal bleeding. 87 banding procedures were performed for bleeding on 62 men with chronic SCI. Multiple bands per session were routinely necessary. Bleeding sites at or distal to the dentate line were also banded. There were no major complications. An outcome questionnaire was completed by 60 subjects (97%). Mean follow-up was one year, minimum one-half year. 73% of patients reported significant reduction in bleeding postbanding, and 20% reported some reduction. A majority of patients felt the procedure was useful or worthwhile overall. Absent sensation allows banding of external hemorrhoids, although symptoms of autonomic hyper-reflexia may occur in patients with lesions at T6 or above. Multiple banding is a safe and effective treatment for hemorrhoidal bleeding in SCI.

引用

页码：174 / 176

页数：3

共 16 条

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