Abstract
In a prospective randomised trial, 43 patients with bleeding haemorrhoids were allocated to receive either a bulk laxative with injection of phenol (5%) in arachis oil (20 patients) (Group 1), or a bulk laxative alone (23 patients) (Group 2). Treatment was given by one author and patients were assessed “blind” by the other at 6 weeks, 3 months and finally at 6 months. At 6 weeks 12 (48%) in Group 1 and 12 (57%) in Group 2 were still bleeding (NS;χ 2= 0.54). At 3 months 10 (40%) in group 1 and 6 (35%) in group 2 (NS;χ 2=0.10), and at 6 months 10 (43%) in group 1 and 7 (47%) in group 2 were still bleeding (NS;χ 2=0.04). No significant difference in bleeding at 6 months after either injection sclerotherapy with bulk laxative or bulk laxatives alone was found.
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References
Anon (1975) Outpatient treatment of haemorrhoids. Br Med J 1:651
Graham-Stewart CW (1962) Injection treatment of haemorrhoids. Br Med J 1:213–6
Greca F, Hares MM, Nevah E, Alexander-Williams J, Keighley MRB (1981) A randomised trial to compare rubber band ligation with phenol injection for treatment of haemorrhoids. Br J Surg 68:250–2
Sim AJW, Murie JA, Mackenzie I (1981) Comparison of rubber band ligation and sclerosant injection for first and second degree haemorrhoids. Acta Chir Scand 147:717–20
Cheng FCY, Shum DWP, Ong GB (1981) The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal anal dilatation, and haemorrhoidectomy: a prospective clinical trial. Aust N Z J Surg 51:458–62
Leicester RJ, Nicholls RJ, Mann CV (1981) Infrared coagulation: a new treatment for haemorrhoids. Dis Colon Rectum 24:602–5
Gartell PC, Sheridan RJ, McGinn FP (1985) Out-patient treatment of haemorrhoids: a randomised clinical trial to compare rubber band ligation with phenol injection. Br J Surg 72:478–479
Hunt PS, Korman MG (1981) Fybogel in haemorrhoid treatment. Med J Aust 2:256–8
Moesgaard F, Nielsen ML, Hansen JB, Knudson JT (1982) High fibre diet reduces bleeding and pain in patients with haemorrhoids. Dis Col Rectum 25:454–6
Webster DJT, Gough DCS, Craven JL (1981) The use of bulk evacuant in patients with haemorrhoids. Br J Surg 65:291–2
Broader JH, Gunn IF, Alexander-Williams J (1974) Evaluation of a bulk forming evacuant in the management of haemorrhoids. Br J Surg 61:142–4
Keighley MRB, Buchmann P, Minervini S, Arabi Y, Alexander-Williams J (1979) Prospective trials of minor surgical procedures and high fibre diet for haemorrhoids. Br Med J 2:967–9
O'Callaghan JD, Matheson TS, Hall R (1982) In-patient treatment of prolapsing piles: cryosurgery versus Milligan-Morgan haemorrhoidectomy. Br J Surg 69:157–9
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Senapati, A., Nicholls, R.J. A randomised trial to compare the results of injection sclerotherapy with a bulk laxative alone in the treatment of bleeding haemorrhoids. Int J Colorect Dis 3, 124–126 (1988). https://doi.org/10.1007/BF01645317
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DOI: https://doi.org/10.1007/BF01645317