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Annoyed with Haemorrhoids? Risks of the Emborrhoid Technique

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A DDS-SIRC Author Profile to this article was published on 31 August 2021

Abstract

Haemorrhoids, a common ailment afflicting mostly Western patients, can produce bothersome symptoms, in particular pain, pruritus, and bleeding. There is a wide choice of surgical treatment options available for haemorrhoids in patients that cannot be treated with medical therapy, such as those that are prolapsed. Many patients refuse surgery due to the fear of potential complications; to overcome this obstacle, novel alternative techniques have been developed in recent years that are focussed on ligation or occlusion of haemorrhoidal arterial blood flow. We describe a patient who developed recto-sigmoidal ischaemia after embolization of the haemorrhoidal arteries, known as the “emborrhoid” technique, with persistence of rectal bleeding and progressive rectal stenosis.

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Abbreviations

Hgb:

Haemoglobin

N.V.:

Normal value

RDW:

Red blood cells distribution width

NPO:

Nihil per os

References:

  1. Vidal V, Louis G, Bartoli JM et al. Embolization of the hemorrhoidal arteries (the emborrhoid technique): A new concept and challenge for interventional radiology. Diagn Interv Imaging 2014;95:307–315.

    Article  CAS  Google Scholar 

  2. Vidal V, Sapoval M, Sielezneff Y et al. Emborrhoid: a new concept for the treatment of hemorrhoids with arterial embolization: the first 14 cases. Cardiovasc Intervent Radiol 2015;38:72–78.

    Article  CAS  Google Scholar 

  3. Tradi F, Louis G, Giorgi R et al. Embolization of the superior rectal arteries for hemorrhoidal disease: Prospective results in 25 patients. J Vasc Interv Radiol 2018;29:884–892.

    Article  Google Scholar 

  4. Sun X, Xu J, Zhang J et al. Management of rectal bleeding due to internal haemorrhoids with arterial embolization: a single-centre experience and protocol. Clin Radiol 2018;73:985.

    Article  Google Scholar 

  5. Moggia E, Talamo G, Gallo G et al. Do we have another option to treat bleeding hemorrhoids? The emborrhoid technique: Experience in 16 patients. Rev Recent Clin Trials 2021;16:81–86.

    Article  Google Scholar 

  6. Moussa N, Sielezneff I, Sapoval M et al. Embolization of the superior rectal arteries for chronic bleeding due to haemorrhoidal disease. Colorectal Dis 2017;19:194–199.

    Article  CAS  Google Scholar 

  7. Zakharchenko A, Kaitoukov Y, Vinnik Y et al. Safety and efficacy of superior rectal artery embolization with particles and metallic coils for the treatment of hemorrhoids (Emborrhoid technique). Diagn Interv Imaging 2016;97:1079–1084.

    Article  CAS  Google Scholar 

  8. Iezzi R, Campenni P, Posa A et al. Outpatient transradial emborrhoid technique: a pilot study. Cardiovasc Intervent Radiol 2021;44:1300–1306.

    Article  Google Scholar 

  9. Han X, Xia F, Chen G et al. Superior rectal artery embolization for bleeding internal hemorrhoids. Tech Coloproctol 2021;25:75–80.

    Article  CAS  Google Scholar 

  10. Lohsiriwat V. Embolization of the superior rectal artery for bleeding haemorrhoids (emborrhoid technique): a summary of early results from the literature and a few cautions for the future of this innovative procedure. Colorectal Dis 2021;23:1584–1585.

    Article  Google Scholar 

  11. Yap FY, Omene BO, Patel MN et al. Transcatheter embolotherapy for gastrointestinal bleeding: a single center review of safety, efficacy, and clinical outcomes. Dig Dis Sci 2013;58:1976–1984.

    Article  CAS  Google Scholar 

  12. Gallo G, Martellucci J, Sturiale A et al. Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease. Tech Coloproctol. 2020;24:145–164.

    Article  CAS  Google Scholar 

  13. National Institute for Health and Care Excellence. Superior rectal artery embolisation for haemorrhoids—Interventional procedure guidance. 2018. https://www.nice.org.uk/guidance/IPG627.

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Author information

Authors and Affiliations

  1. Department of Surgical Sciences, Hospital “Policlinico Umberto I”, “Sapienza” University of Rome, Rome, Italy

    Chiara Eberspacher, Vito D’Andrea, Augusto Lauro, Lisa Fralleone & Domenico Mascagni

  2. Clinic “Casa Di Cura Quisisana”, Rome, Italy

    Fabrizio Ficuccilli & Laura Tessieri

Authors
  1. Chiara Eberspacher
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  2. Fabrizio Ficuccilli
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  3. Laura Tessieri
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  4. Vito D’Andrea
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  5. Augusto Lauro
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  6. Lisa Fralleone
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  7. Domenico Mascagni
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Corresponding author

Correspondence to Chiara Eberspacher.

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All authors declare that they have no conflict of interest pertinent to this case presentation.

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A profile of Lisa Fralleone is available at https://doi.org/10.1007/s10620-021-07209-6.

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Eberspacher, C., Ficuccilli, F., Tessieri, L. et al. Annoyed with Haemorrhoids? Risks of the Emborrhoid Technique. Dig Dis Sci 66, 3725–3729 (2021). https://doi.org/10.1007/s10620-021-07208-7

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  • DOI: https://doi.org/10.1007/s10620-021-07208-7

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