Abstract
PURPOSE: Endoscopic Doppler sonography is a relatively new technique in the diagnostics of intestinal hemorrhage. It has been used mainly for bleeding gastroduodenal ulcers, but can also be utilized in the lower digestive tract. METHODS: In the study presented 80 patients with symptomatic hemorrhoids of first degree and previous hemorrhage were randomized in two groups. The 40 patients in Group A were examined by transproctoscopic Doppler ultrasound. After measuring the vessels depth, local injection treatment with 5 percent phenol almond oil followed. The patients in Group B had been given conventional sclerotherapy without the aid of Doppler investigation. The success of treatment was checked using Doppler sonographics six weeks later and the results were statistically compared. RESULTS: In the patients in Group A, the hemorrhoids proved to be totally eliminated in 93 percent vs. 38 percent of the patients in Group B (P,0.1 percent). CONCLUSIONS: Proctoscopic Doppler ultrasound is useful in the evaluation and sclerotherapy of symptomatic first-degree hemorrhoids.
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Jaspersen, D., Koerner, T., Schorr, W. et al. Proctoscopic Doppler ultrasound in diagnostics and treatment of bleeding hemorrhoids. Dis Colon Rectum 36, 942–945 (1993). https://doi.org/10.1007/BF02050630
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DOI: https://doi.org/10.1007/BF02050630