Objective: to evaluate the clinical efficacy and safety of linked color imaging (LCI) combined with postoperative finger massage under gastroscope for internal hemorrhoids. Methods: a total of 60 patients undergoing e...Objective: to evaluate the clinical efficacy and safety of linked color imaging (LCI) combined with postoperative finger massage under gastroscope for internal hemorrhoids. Methods: a total of 60 patients undergoing endoscopic sclerotherapy for internal hemorrhoids in Yichang Central Peoples Hospital from June 2020 to September 2021 were randomly divided into study (LCI) group (n 30) and control (WLE) group (n 30). Under the gastroscope imaging mode (LCI) and ordinary white light endoscopy (WLE) respectively, use a gastroscope with a transparent cap to add a small amount of methylene blue tracer into the polylol stock solution and inject it into the hemorrhoid nucleus at different points, so as to observe that the tracer will immediately stop the injection. If there is a small amount of hemorrhage after the injection, an additional injection of about 0.5 mL can be made. Routine injection will be carried out at 4-5 points, with the total amount not exceeding 10ml. In LCI group, the fingers will be massaged for about 30s after the operation. The symptoms and complications of rebleeding and internal hemorrhoid prolapse within 6 months after operation were compared between the two groups. Results: in the study (LCI) group, 1.0ml and 4.5ml;Of dailyl alcohol were injected at each point on average. The control (WLE) group received an average of 1.5ml of polyglycerol at each point, with a total amount of 7.0ml. During the follow-up period of 6 months after operation, there was no rebleeding in both groups. In the LCI group, there were 10 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but they were significantly better than before. In the WLE group, there were 24 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but except for a small part of anal distension and slight pain, the rest all disappeared spontaneously in 1 to 2 weeks without serious complications such as anal stenosis, gastrointestinal hemorrhage and perforation Conclusion: gastroscopic sclerotherapy for internal hemorrhoids is simple, safe and reliable, with satisfactory curative effect. Compared with white light mode, LCI mode can accurately inject into the hemorrhoid nucleus to reduce the injection amount of polyglycerol at each point. Finger massage can increase the penetration of sclerosant into the hemorrhoid nucleus, thus improving the curative effect, reducing the occurrence of complications and improving postoperative comfort. It is worthy of clinical application.展开更多
文摘Objective: to evaluate the clinical efficacy and safety of linked color imaging (LCI) combined with postoperative finger massage under gastroscope for internal hemorrhoids. Methods: a total of 60 patients undergoing endoscopic sclerotherapy for internal hemorrhoids in Yichang Central Peoples Hospital from June 2020 to September 2021 were randomly divided into study (LCI) group (n 30) and control (WLE) group (n 30). Under the gastroscope imaging mode (LCI) and ordinary white light endoscopy (WLE) respectively, use a gastroscope with a transparent cap to add a small amount of methylene blue tracer into the polylol stock solution and inject it into the hemorrhoid nucleus at different points, so as to observe that the tracer will immediately stop the injection. If there is a small amount of hemorrhage after the injection, an additional injection of about 0.5 mL can be made. Routine injection will be carried out at 4-5 points, with the total amount not exceeding 10ml. In LCI group, the fingers will be massaged for about 30s after the operation. The symptoms and complications of rebleeding and internal hemorrhoid prolapse within 6 months after operation were compared between the two groups. Results: in the study (LCI) group, 1.0ml and 4.5ml;Of dailyl alcohol were injected at each point on average. The control (WLE) group received an average of 1.5ml of polyglycerol at each point, with a total amount of 7.0ml. During the follow-up period of 6 months after operation, there was no rebleeding in both groups. In the LCI group, there were 10 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but they were significantly better than before. In the WLE group, there were 24 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but except for a small part of anal distension and slight pain, the rest all disappeared spontaneously in 1 to 2 weeks without serious complications such as anal stenosis, gastrointestinal hemorrhage and perforation Conclusion: gastroscopic sclerotherapy for internal hemorrhoids is simple, safe and reliable, with satisfactory curative effect. Compared with white light mode, LCI mode can accurately inject into the hemorrhoid nucleus to reduce the injection amount of polyglycerol at each point. Finger massage can increase the penetration of sclerosant into the hemorrhoid nucleus, thus improving the curative effect, reducing the occurrence of complications and improving postoperative comfort. It is worthy of clinical application.
