Revista de Ciencias Médicas de Pinar del Río (May 2017)
Effectiveness of endoscopic hemorrhoidal sclerosis two decades after
Abstract
Introduction: hemorrhoids are the prolapse of mucosal, submucosal and vascular structures of the rectum through the anal canal with venous plexus dilations, very common in the country. Objective: to demonstrate the use of endoscopic hemorrhoidal sclerosis in the service of gastroenterology in the provincial hospital chosen along with the comparative study of the cost of the endoscopic methods with the surgical procedure, due to the considerable saving of resources mainly in the area of convertible currencies. Method: a descriptive and cross-sectional research was carried out on the total number of patients affected and diagnosed with hemorrhoid syndrome (N = 10,000), who underwent clinical and endoscopic treatment by sclerosing method regardless of the degree of hemorrhoids during 1995 to 2014 in Pinar del Río. The procedure is simple, safe, and generally painless. Complications are related to an incorrect approach of application. Results: 53.2% were women from 16 to 70 years old, according to the degree (I-II-III-IV): I- 15.7%, II- 21.5%, III-52.7% and 20.1% to IV; 91% resolved with treatment, 2% of cases were surgically treated due to the treatment failure or other complications. Conclusion: hemorrhoids sclerosis for the degrees I, II, III, IV is an effective method, the possibility of ambulatory management to carry out this technique offers great social and economic benefits both for the patient and the hospital which would result in a huge economic contribution, import substitution, use of drugs and materials.
