A-study-on-management-of-bleeding-haemorrhoids-with-calcium-dobesilate-vs-inj-sclerotherapy
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Date
2024-07
Journal Title
Journal ISSN
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Publisher
INDIAN SOCIETY FOR HEALTH AND ADVANCED RESEARCH
Abstract
Introduction: Hemorrhoids are very common anorectal conditions that should be treated as early as possible. The treatment options are surgery, injection sclerotherapy, rubber band ligation, conservative management with flavonoids,calcium dobesilate,diet modificatons. A prospective study was done at Amch Vijayapura.Materials: Detailed clinical examination was done, diagnosis of hemorrhoids were made.A total of 100 patients with grade 1 and 2 haemorrhoids with active bleeding were selected for the study and divided into 2 groups. Group A 50 patients treated with calcium dobesilate and Group B 50 patients with injection sclerotherapy.The patients were followed up at 2 weeks, and 1,6,9 month in terms of improvement in symptoms and any complications. This study demonstrated thatResults: both calcium dobesilate and injection sclerotherapy had improved per rectal bleeding after 3 and 6 weeks of treatment, but injection sclerotherapy had better outcome over calcium dobesilate after 6 months of treatment (54% vs. 36%). In case of reduction of hemorrhoidal mass � injection sclerotherapy had significantly better outcome in all the follow-up visits, that is, 3 weeks (52% vs. 18%), 6 weeks (64% vs. 30%) and 6 months (60% vs. 28%). Injection sclerotherapy had superior overall treatment outcome after 6 weeks of treatment (66% vs. 42%) and long-term periods (56% vs. 28%). Conclusion: Injection sclerotherapy has been found to offer lasting benefits for the treatment of symptomatic hemorrhoids, unlike calcium dobesilate, which usually offers only temporary relief for per rectal bleeding. This means that while injection sclerotherapy leads to sustained improvement in symptoms, conservative management with calcium dobesilate tends to provide short-term relief specifically for bleeding per rectum.
Description
Keywords
Haemorrhoids, Calcium Dobesilate, Sclerotherapy
Citation
Punekar Meher Darakshan, Awati Jilani S, Pasha Iram T . A-study-on-management-of-bleeding-haemorrhoids-with-calcium-dobesilate-vs-inj-sclerotherapy . Paripex - Indian Journal Of Research. 2024 Jul; 13(7): 22-23