Endoscopy 2018; 50(04): S177
DOI: 10.1055/s-0038-1637576
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

POST PROCEDURE EFFICACY, COMPLICATIONS AND BENEFITS OF HET – HEMORRHOIDAL ENERGY TREATMENT: A SINGLE-CENTER EXPERIENCE

T Kothari
1   University of Rochester Medical Center, Division of Gastroenterology and Hepatology, Rochester, United States
,
K Bittner
1   University of Rochester Medical Center, Division of Gastroenterology and Hepatology, Rochester, United States
,
S Kothari
1   University of Rochester Medical Center, Division of Gastroenterology and Hepatology, Rochester, United States
,
V Kaul
1   University of Rochester Medical Center, Division of Gastroenterology and Hepatology, Rochester, United States
,
M Sharma
2   Jaswant Rai Speciality Hospital, Department of Gastroenterology, Meerut, India
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

Also available at
 

Aims:

Efficacy would include resolution of bleeding. Complications would include fecal incontinence and stricture formation in anal canal. Benefits include improvement and total resolution of bleeding.

Methods:

This study was a retrospective chart review conducted at a large academic tertiary care center. Between March 2015 and May 2017, 48 consecutive patients with Grade I or II internal hemorrhoids and rectal bleeding who underwent HET were identified for possible inclusion. The research proposal was IRB approved.

47 out of 48 patients responded to a telephonic follow-up questionnaire post HET. In addition, 2 subjects were excluded due to pre-existing colon carcinoma with chronic rectal bleeding and overflow incontinence. The questionnaire inquired about pain during the HET procedure or in recovery room, complete resolution of bleeding, use of stool softeners post-HET, difficulty passing stool post-HET, and any incontinence post-HET. A total of 45 patients were included in the final analysis. Each patient had at least 3-month post treatment follow up.

Results:

Our cohort included 16 males and 29 females, with a mean age of 49 ± 15.6 years. Patients reported mean symptom duration of 10.7 ± 8.3 months, prior to treatment. 42 patients underwent HET. The mean entire procedure time was 13.8 ± 5.7 minutes.

There were no complications reported. No patients reported pain or rectal discomfort during the procedure or in the recovery period, 36 patients (80%) reported complete resolution of rectal bleeding. 9 patients reported continued bleeding, with 4/9 discontinuing use of stool softeners within 60 days of the procedure. In total, 21 patients (47%) were able to discontinue stool softener use. No patients reported difficulty passing stool or any fecal incontinence following HET.

Conclusions:

HET as per our experience at UR, is efficacious, safe and beneficial to control bleeding internal hemorrhoids.