Recent Research of Doppler-Guided Hemorrhoidal Artery Ligation in Treatment of Hemorrhoids_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUANGBin ,  QINPeng-pai

Department of Surgery, Beijing Hospital of Coloproctology, Beijing 100011, China;

Corresponding author：

QINPeng-pai, Email: qinpengpai@ellhospital.com

Keywords：

Doppler-guided hemorrhoidal artery ligation; Hemorrhoids; Internal hemorrhoids; Minimally invasive

DOI：

10.7507/1007-9424.20140027

Video：

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Objective To summarize the research progression of Doppler-guided hemorrhoidal artery ligation in the treatment of hemorrhoids. Methods The related literatures in recent years were reviewed, and to investigate the operation principle, operation process, the indications and effects, and existing problems of Doppler-guided hemorrhoidal artery ligation. Results The surgical principle of Doppler-guided hemorrhoidal artery ligation make use of Doppler ultrasound looking for hemorrhoidal artery, and ligation it directly.It's best indication is Ⅱ or Ⅲ degree hemorrhoids or mixed hemorrhoid with grade Ⅰ or Ⅲ mainly, especially for bleeding hemorrhoids disease curative effect is better.This surgical method has lots of advantages, such as less invasive, quick recovery, and low incidence of complications.But it is no significant treatment effect for the external hemorrhoids, therefore, the procedure does not apply to external hemo-rrhoids and mixed hemorrhoids dominated by external hemorrhoids. Conclusions Doppler-guided hemorrhoidal artery ligation has the advantage of minimally invasive, it is a safe and effective treatment for Ⅱ and Ⅲ degree internal hemorr-hoids or Ⅱ and Ⅲ degree mixed hemorrhoids dominated by internal hemorrhoids.

Citation： HUANGBin, QINPeng-pai. Recent Research of Doppler-Guided Hemorrhoidal Artery Ligation in Treatment of Hemorrhoids. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 117-120. doi: 10.7507/1007-9424.20140027 Copy

1.	Karin E, Avital S, Dotan I, et al.Doppler-guided haemorrhoidal artery ligation in patients with Crohn's disease[J].Colorectal Dis, 2012, 14(1):111-114.
2.	Forrest NP, Mullerat J, Evans C, et al.Doppler-guided haemorrhoidal artery ligation with recto anal repair:a new technique for the treatment of symptomatic haemorrhoids[J].Int J Colorectal Dis, 2010, 25(10):1251-1256.
3.	Testa A, Torino G.Doppler-guided hemorrhoidal artery ligation (DG-HAL):a safe treatment ofⅡ-Ⅲ degree hemorrhoids for all patients.Could it be potentially also good prophylaxis?[J].Min-erva Chir, 2010, 65(3):259-265.
4.	Faucheron JL, Poncet G, Voirin D, et al.Doppler-guided hemorrhoidal artery ligation and rectoanal repair (HAL-RAR) for the treatment of grade Ⅳhemorrhoids:long-term results in 100 conse-cutive patients[J].Dis Colon Rectum, 2011, 54(2):226-231.
5.	Yilmaz İ, Sücüllü İ, Karakaş DÖ, et al.Doppler-guided hemorrhoidal artery ligation:experience with 2 years follow-up[J].Am Surg, 2012, 78(3):344-348.
6.	Spyridakis M, Christodoulidis G, Symeonidis D, et al.Outcomes of Doppler-guided hemorrhoid artery ligation:analysis of 90 cons-ecutive patients[J].Tech Coloproctol, 2011, 15(Suppl 1):S21-S24.
7.	Wałega P, Scheyer M, Arnold S, et al.Selective Doppler-guided hemorrhoidal artery ligation as a minimaly invasive method of treatment of hemorrhoidal disease[J].Przegl Lek, 2009, 66(3):122-125.
8.	Abdeldaim Y, Mabadeje O, Muhammad KM, et al.Dopplerg-uided haemorrhoidal arteries ligation:preliminary clinical experience[J].Ir Med J, 2007, 100(7):535-537.
9.	Wilkerson PM, Strbac M, Reece-Smith H, et al.Doppler-guided haemorrhoidal artery ligation:long-term outcome and patient satis-faction[J].Colorectal Dis, 2009, 11(4):394-400.
10.	Morinaga K, Hasuda K, Ikeda T.A novel therapy for internal hemorrhoids:ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a doppler flowmeter[J].Am J Gastroenterol, 1995, 90(4):610-613.
11.	秦澎湃, 李英茹, 卢卫星.多普勒引导下结扎痔动脉治疗内痔疮31例[J].中国普通外科杂志, 2007, 16(9):932-933.
12.	秦澎湃, 黄斌, 蔡妲婧, 等.多普勒引导下痔动脉结扎与痔上黏膜环切钉合术的对照观察[J].中华医学杂志, 2010, 90(44):3131-3134.
13.	张正国, 徐为, 杨光.多普勒超声引导下痔动脉结扎术治疗痔的临床研究[J].中国实用外科杂志, 2011, 31(5):443-444.
14.	张波, 丁义江.改良超声多普勒引导下痔动脉结扎术治疗痔病24例分析[J].江苏医药, 2012, 38(12):1475-1476.
15.	Lienert M, Ulrich B.Doppler guided ligation of the hemorrhoidal arteries:report of experiences with 248 patients[J].Dtsch Med Wochenschr, 2004, 129(17):947-950.
16.	俞一峰, 李森, 龚海, 等.多普勒引导痔动脉结扎治疗内痔及低位直肠出血25例疗效观察[J].苏州大学学报:医学版, 2008, 28(5):860-861.
17.	王业皇, 王元钊, 章阳.超声多普勒引导下痔动脉结扎术的临床观察[J].中国肛肠病杂志, 2006, 26(5):11-12.
18.	Pol RA, van der Zwet WC, Hoornenborg D, et al.Results of 244 consecutive patients with hemorrhoids treated with Doppler-guided hemorrhoidal artery ligation[J].Dig Surg, 2010, 27(4):279-284.
19.	Wałega P, Scheyer M, Kenig J, et al.Two-center experience in the treatment of hemorrhoidal disease using Doppler-guided hemorrhoidal artery ligation:functional results after 1-year follow-up[J].Surg Endosc, 2008, 22(11):2379-2383.
20.	Roka S, Gold D, Walega P, et al.DG-RAR for the treatment of symptomatic gradeⅢand gradeⅣhaemorrhoids:a 12-month multi-centre, prospective observational study[J].Eur Surg, 2013, 45(1):26-30.
21.	Pol RA, van der Zwet WC, Kaijser M, et al.omparison of Doppler-guided haemorrhoidal artery ligation without mucopexy and rubber band ligation for haemorrhoids[J].Arab J Gastroenterol, 2011, 12(4):189-193.
22.	Khafagy W, El Nakeeb A, Fouda E, et al.Conventional haemorrhoidectomy, stapled haemorrhoidectomy, Doppler guided haemorrhoidectomy artery ligation; post operative pain and anorectal manometric assessment[J].Hepatogastroenterology, 2009, 56(93):1010-1015.
23.	张旗, 周峰, 翟敏, 等.超声多普勒引导下痔动脉结扎术66例治疗经验[J].中华胃肠外科杂志, 2011, 14(3):221.
24.	孟庆辉, 王子恒, 李林强, 等.多普勒超声引导的痔上动脉结扎治疗Ⅱ、Ⅲ度内痔[J].中国普外基础与临床杂志, 2010, 17(12):1308-1309.
25.	Bursics A, Morvay K, Kupcsulik P, et al.Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation:a randomized study[J].Int J Colorectal Dis, 2004, 19(2):176-180.
26.	Faucheron JL, Gangner Y.Doppler-guided hemorrhoidal artery ligation for the treatment of symptomatic hemorrhoids:early and three-year follow-up results in 100 consecutive patients[J].Dis Colon Rectum, 2008, 51(6):945-949.
27.	Avital S, Itah R, Skornick Y, et al.Outcome of stapled hemorrh-oidopexy versus doppler-guided hemorrhoidal artery ligation for gradeⅢhemorrhoids[J].Tech Coloproctol, 2011, 15(3):267-271.
28.	Jeong WJ, Cho SW, Noh KT, et al.One year follow-up result of Doppler-guided hemorrhoidal artery ligation and recto-anal repair in 97 consecutive patients[J].J Korean Soc Coloproctol, 2011, 27(6):298-302.
29.	Pucher PH, Sodergren MH, Lord AC, et al.Clinical outcome following Doppler-guided haemorrhoidal artery ligation:a systematic review[J].Colorectal Dis, 2013, 15(6):284-294.
30.	Gomez-Rosado JC, Sanchez-Ramirez M, Capitan-Morales LC, et al.One year follow-up after doppler-guided haemorrhoidal artery ligation[J].Cir Esp, 2012, 90(8):513-517.
31.	Infantino A, Bellomo R, Dal Monte PP, et al.Transanal haemorrhoidal artery echodoppler ligation and anopexy (THD) is effective for Ⅱ and Ⅲ degree haemorrhoids:a prospective multicentric study[J].Colorectal Dis, 2010, 12(8):804-809.
32.	Burger JW, Eddes EH, Gerhards MF, et al.Two new treatments for haemorrhoids.Doppler-guided haemorrhoidal artery ligation and stapled anopexy[J].Ned Tijdschr Geneeskd, 2010, 154:A787.
33.	Avital S, Inbar R, Karin E, et al.Five-year follow-up of Doppler-guided hemorrhoidal artery ligation[J].Tech Coloproctol, 2012, 16(1):61-65.
34.	Felice G, Privitera A, Ellul E, et al.Doppler-guided hemorrhoidal artery ligation:an alternative to hemorrhoidectomy[J].Dis Colon Rectum, 2005, 48(11):2090-2093.
35.	Lombard R.Ambulatory treatment of hemorrhoids[J].Rev Med Liege, 2005, 60(9):695-699.
36.	蔡而玮, 单苏圆, 吴燕燕.多普勒引导痔动脉结扎术治疗痔80例临床观察[J].福建中医药大学学报, 2011, 21(4):51-52.

1. Karin E, Avital S, Dotan I, et al.Doppler-guided haemorrhoidal artery ligation in patients with Crohn's disease[J].Colorectal Dis, 2012, 14(1):111-114.
2. Forrest NP, Mullerat J, Evans C, et al.Doppler-guided haemorrhoidal artery ligation with recto anal repair:a new technique for the treatment of symptomatic haemorrhoids[J].Int J Colorectal Dis, 2010, 25(10):1251-1256.
3. Testa A, Torino G.Doppler-guided hemorrhoidal artery ligation (DG-HAL):a safe treatment ofⅡ-Ⅲ degree hemorrhoids for all patients.Could it be potentially also good prophylaxis?[J].Min-erva Chir, 2010, 65(3):259-265.
4. Faucheron JL, Poncet G, Voirin D, et al.Doppler-guided hemorrhoidal artery ligation and rectoanal repair (HAL-RAR) for the treatment of grade Ⅳhemorrhoids:long-term results in 100 conse-cutive patients[J].Dis Colon Rectum, 2011, 54(2):226-231.
5. Yilmaz İ, Sücüllü İ, Karakaş DÖ, et al.Doppler-guided hemorrhoidal artery ligation:experience with 2 years follow-up[J].Am Surg, 2012, 78(3):344-348.
6. Spyridakis M, Christodoulidis G, Symeonidis D, et al.Outcomes of Doppler-guided hemorrhoid artery ligation:analysis of 90 cons-ecutive patients[J].Tech Coloproctol, 2011, 15(Suppl 1):S21-S24.
7. Wałega P, Scheyer M, Arnold S, et al.Selective Doppler-guided hemorrhoidal artery ligation as a minimaly invasive method of treatment of hemorrhoidal disease[J].Przegl Lek, 2009, 66(3):122-125.
8. Abdeldaim Y, Mabadeje O, Muhammad KM, et al.Dopplerg-uided haemorrhoidal arteries ligation:preliminary clinical experience[J].Ir Med J, 2007, 100(7):535-537.
9. Wilkerson PM, Strbac M, Reece-Smith H, et al.Doppler-guided haemorrhoidal artery ligation:long-term outcome and patient satis-faction[J].Colorectal Dis, 2009, 11(4):394-400.
10. Morinaga K, Hasuda K, Ikeda T.A novel therapy for internal hemorrhoids:ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a doppler flowmeter[J].Am J Gastroenterol, 1995, 90(4):610-613.
11. 秦澎湃, 李英茹, 卢卫星.多普勒引导下结扎痔动脉治疗内痔疮31例[J].中国普通外科杂志, 2007, 16(9):932-933.
12. 秦澎湃, 黄斌, 蔡妲婧, 等.多普勒引导下痔动脉结扎与痔上黏膜环切钉合术的对照观察[J].中华医学杂志, 2010, 90(44):3131-3134.
13. 张正国, 徐为, 杨光.多普勒超声引导下痔动脉结扎术治疗痔的临床研究[J].中国实用外科杂志, 2011, 31(5):443-444.
14. 张波, 丁义江.改良超声多普勒引导下痔动脉结扎术治疗痔病24例分析[J].江苏医药, 2012, 38(12):1475-1476.
15. Lienert M, Ulrich B.Doppler guided ligation of the hemorrhoidal arteries:report of experiences with 248 patients[J].Dtsch Med Wochenschr, 2004, 129(17):947-950.
16. 俞一峰, 李森, 龚海, 等.多普勒引导痔动脉结扎治疗内痔及低位直肠出血25例疗效观察[J].苏州大学学报:医学版, 2008, 28(5):860-861.
17. 王业皇, 王元钊, 章阳.超声多普勒引导下痔动脉结扎术的临床观察[J].中国肛肠病杂志, 2006, 26(5):11-12.
18. Pol RA, van der Zwet WC, Hoornenborg D, et al.Results of 244 consecutive patients with hemorrhoids treated with Doppler-guided hemorrhoidal artery ligation[J].Dig Surg, 2010, 27(4):279-284.
19. Wałega P, Scheyer M, Kenig J, et al.Two-center experience in the treatment of hemorrhoidal disease using Doppler-guided hemorrhoidal artery ligation:functional results after 1-year follow-up[J].Surg Endosc, 2008, 22(11):2379-2383.
20. Roka S, Gold D, Walega P, et al.DG-RAR for the treatment of symptomatic gradeⅢand gradeⅣhaemorrhoids:a 12-month multi-centre, prospective observational study[J].Eur Surg, 2013, 45(1):26-30.
21. Pol RA, van der Zwet WC, Kaijser M, et al.omparison of Doppler-guided haemorrhoidal artery ligation without mucopexy and rubber band ligation for haemorrhoids[J].Arab J Gastroenterol, 2011, 12(4):189-193.
22. Khafagy W, El Nakeeb A, Fouda E, et al.Conventional haemorrhoidectomy, stapled haemorrhoidectomy, Doppler guided haemorrhoidectomy artery ligation; post operative pain and anorectal manometric assessment[J].Hepatogastroenterology, 2009, 56(93):1010-1015.
23. 张旗, 周峰, 翟敏, 等.超声多普勒引导下痔动脉结扎术66例治疗经验[J].中华胃肠外科杂志, 2011, 14(3):221.
24. 孟庆辉, 王子恒, 李林强, 等.多普勒超声引导的痔上动脉结扎治疗Ⅱ、Ⅲ度内痔[J].中国普外基础与临床杂志, 2010, 17(12):1308-1309.
25. Bursics A, Morvay K, Kupcsulik P, et al.Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation:a randomized study[J].Int J Colorectal Dis, 2004, 19(2):176-180.
26. Faucheron JL, Gangner Y.Doppler-guided hemorrhoidal artery ligation for the treatment of symptomatic hemorrhoids:early and three-year follow-up results in 100 consecutive patients[J].Dis Colon Rectum, 2008, 51(6):945-949.
27. Avital S, Itah R, Skornick Y, et al.Outcome of stapled hemorrh-oidopexy versus doppler-guided hemorrhoidal artery ligation for gradeⅢhemorrhoids[J].Tech Coloproctol, 2011, 15(3):267-271.
28. Jeong WJ, Cho SW, Noh KT, et al.One year follow-up result of Doppler-guided hemorrhoidal artery ligation and recto-anal repair in 97 consecutive patients[J].J Korean Soc Coloproctol, 2011, 27(6):298-302.
29. Pucher PH, Sodergren MH, Lord AC, et al.Clinical outcome following Doppler-guided haemorrhoidal artery ligation:a systematic review[J].Colorectal Dis, 2013, 15(6):284-294.
30. Gomez-Rosado JC, Sanchez-Ramirez M, Capitan-Morales LC, et al.One year follow-up after doppler-guided haemorrhoidal artery ligation[J].Cir Esp, 2012, 90(8):513-517.
31. Infantino A, Bellomo R, Dal Monte PP, et al.Transanal haemorrhoidal artery echodoppler ligation and anopexy (THD) is effective for Ⅱ and Ⅲ degree haemorrhoids:a prospective multicentric study[J].Colorectal Dis, 2010, 12(8):804-809.
32. Burger JW, Eddes EH, Gerhards MF, et al.Two new treatments for haemorrhoids.Doppler-guided haemorrhoidal artery ligation and stapled anopexy[J].Ned Tijdschr Geneeskd, 2010, 154:A787.
33. Avital S, Inbar R, Karin E, et al.Five-year follow-up of Doppler-guided hemorrhoidal artery ligation[J].Tech Coloproctol, 2012, 16(1):61-65.
34. Felice G, Privitera A, Ellul E, et al.Doppler-guided hemorrhoidal artery ligation:an alternative to hemorrhoidectomy[J].Dis Colon Rectum, 2005, 48(11):2090-2093.
35. Lombard R.Ambulatory treatment of hemorrhoids[J].Rev Med Liege, 2005, 60(9):695-699.
36. 蔡而玮, 单苏圆, 吴燕燕.多普勒引导痔动脉结扎术治疗痔80例临床观察[J].福建中医药大学学报, 2011, 21(4):51-52.

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Recent Research of Doppler-Guided Hemorrhoidal Artery Ligation in Treatment of Hemorrhoids

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