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Review

Hemorrhoids: A range of treatments

Turgut Bora Cengiz, MD and Emre Gorgun, MD, FACS, FASCRS
Cleveland Clinic Journal of Medicine September 2019, 86 (9) 612-620; DOI: https://doi.org/10.3949/ccjm.86a.18079
Turgut Bora Cengiz
Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic
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Emre Gorgun
Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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    Figure 1

    Patient with Crohn disease. Note the fistula orifices and the skin tag.

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    Figure 2

    In rubber band ligation, an internal hemorrhoid is grasped with a forceps (A) and drawn into the cylinder of the ligator (B). A band is deployed around the base of the hemorrhoid (C), cutting off its blood supply and causing it to fall off within a few days.

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    Figure 3

    Sclerotherapy involves injecting an irritating solution into the hemorrhoid, reducing its blood supply and causing it to shrink.

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    Figure 4

    In stapled hemorrhoidopexy, a special tool is inserted (A). Excess tissue is excised (B), and the remaining tissue is drawn up to its normal position and fastened in place, yielding the result pictured in panel C.

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    Figure 5

    Algorithm for hemorrhoid management.

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Cleveland Clinic Journal of Medicine: 86 (9)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 9
1 Sep 2019
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Hemorrhoids: A range of treatments
Turgut Bora Cengiz, Emre Gorgun
Cleveland Clinic Journal of Medicine Sep 2019, 86 (9) 612-620; DOI: 10.3949/ccjm.86a.18079

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Hemorrhoids: A range of treatments
Turgut Bora Cengiz, Emre Gorgun
Cleveland Clinic Journal of Medicine Sep 2019, 86 (9) 612-620; DOI: 10.3949/ccjm.86a.18079
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  • Article
    • ABSTRACT
    • DIAGNOSING AND CLASSIFYING HEMORRHOIDS
    • A RANGE OF TREATMENTS
    • CONSERVATIVE MEASURES
    • OFFICE-BASED TREATMENTS
    • SURGERY
    • NO ‘BEST’ TREATMENT
    • TAKE-HOME MESSAGES
    • REFERENCES
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