Endoscopic Hemorrhoid Band Ligation

If you’re suffering from a Grade One, Two or Three internal hemorrhoid, an Endoscopic Hemorrhoid Band Ligation could relieve you of your discomfort.

Before explaining how, you first need to know the definition of a prolapse. A prolapse occurs when hemorrhoidal tissue (which is a normal part of the anatomy) becomes enlarged and can be felt on the outside of the anus during a bowel movement.

You have a Grade One hemorrhoid if you have an internal hemorrhoid but there’s no prolapse.

You have a Grade Two hemorrhoid if you have a prolapse that goes back in on its own.

You have a Grade Three Hemorrhoid if you have a prolapse that you need to push back in yourself.

You have a Grade Four Hemorrhoid if you have a prolapse that stays out.

In all three cases, you may or may not experience bleeding as a symptom. But, if there’s a prolapse, it may cause itching and/or irritation around the anus. It may also make bowel movements difficult or result in a discharge.

Also, in all four cases, you can be treated with an Endoscopic Hemorrhoid Band Ligation and Infrared Coagulation,both non-surgical treatments.

(However, there are some Grade Four cases that are too serious and not candidates for Endoscopic Hemorrhoid Band Ligation.)

In order to verify you have a hemorrhoid and determine if you’re a candidate for Hemorrhoid Band Ligation, you’ll be diagnosed during a colonoscopy or anoscopy, where the doctor will be able to feel or see (with a scope) your hemorrhoidal tissue. If it’s determined you do have a hemorrhoid but it’s not very serious, dietary and lifestyle changes could resolve it. If they don’t (or can’t), then Hemorrhoid Band Ligation along with Infrared Coagulation could be the right treatment option for you.

What Is An Endoscopic Hemorrhoid Band Ligation Procedure?

A device is used to place rubber bands at the base of your internal hemorrhoid. These rubber bands will cut off the blood supply to the hemorrhoid and, eventually, it will fall off. This usually happens after about a week and may be accompanied by bleeding.

It’s possible to have several rubber bands placed during one visit but you may need more than one visit.

The recovery time is usually just a few days. During this time, you may feel uncomfortable or achy for a few days.

You should continue to follow any recommended dietary and lifestyle changes during and after this time.

About Dr. Focazio

Dr. Focazio has 25 years of experience, is Board-certified as both a physician and surgeon, and specializes in all aspects of Internal Medicine, Gastroenterology, and Hepatology. He’s also developed new medical techniques in the field. He’s the first gastroenterologist to own and operate a surgical center in New Jersey and has performed 1000’s colonoscopies and upper endoscopies. He continues to educate himself and has certifications and training in several cutting edge, modern techniques.