Hemorrhoid Banding

Hemorrhoid Banding

Hemorrhoids are a common condition that can cause significant discomfort. Among the available treatment options, rubber band ligation (RBL) is a widely utilized and minimally invasive procedure for addressing this issue. Initially described by Blaisdel and popularized by Barron in 1963, RBL is effective for grades 1 and 2 internal hemorrhoids. This simple procedure is typically performed in an office without bowel preparation or sedation. RBL involves placing a rubber band around the hemorrhoid, inducing ischemia in the hemorrhoidal tissue; this leads to tissue detachment and ulcer formation, promoting healing and tissue attachment to the rectal wall. Comparative studies show RBL’s superiority over other treatments like sclerotherapy and infrared coagulation. The procedure is performed just above the dentate line due to the lack of somatic sensitivity in this area, minimizing discomfort. Office-based procedures aim to alleviate symptoms, reduce hemorrhoidal tissue size and vascularity, and enhance tissue attachment, minimizing the chances of postoperative prolapse. While these interventions are generally well-tolerated and associated with reduced pain, discussions about complications, recurrence rates, and the potential need for repeated procedures are essential for patients and healthcare providers.This activity describes hemorrhoid banding, exploring its historical context, procedural details, and comparative advantages. Communication and collaboration among the interprofessional care team, including physicians, nurses, and support staff, contribute to improved patient care.

  • Provider:StatPearls, LLC
  • Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/49
  • Start Date: 2023-09-01 05:00:00
  • End Date: 2023-09-01 05:00:00
  • Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
    Nursing: 1.0 hours
    Pharmacy: 1.0 hours
  • MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
    ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
    ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
    ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
    ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
    ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
    ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS)
  • Commercial Support: No
  • Activity Type: Enduring Material
  • CME Finder Type: Online Learning
  • Fee to Participate: Variable
  • Measured Outcome: Learner Knowledge, Learner/Team Competence
  • Provider Ship: Directly Provided
  • Registration: Open to all
  • Specialty: All Practice Areas (e.g. ethics), Gastroenterology, General Pediatrics, General Surgery, Internal Medicine, Non-Thoracic Surgery, Pediatric Gastroenterology, Pediatric Surgery, Vascular Surgery
«
Subscribe
Notify of
guest
0 Comments
Oldest
Newest Most Voted
Inline Feedbacks
View all comments
0
Would love your thoughts, please comment.x
()
x

Contact us

If you want to join leaders who will shape what Americans think about sleep.

Name(Required)
Sign Up
This field is for validation purposes and should be left unchanged.

Sign up for the expert list

for media inquiries

Name(Required)
Sign Up
This field is for validation purposes and should be left unchanged.