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Published on March 17, 2014

Crozer-Keystone Offers Non-Surgical Hemorrhoid Banding

A New Treatment Option for Internal Hemorrhoids

It has been estimated that 50 percent of people are affected by hemorrhoids by age 50. Risk factors include pregnancy, low-fiber diet, constipation, prolonged standing or sitting, and straining with activities such as lifting heavy weight.

Patients who suffer with the itching and bleeding associated with internal hemorrhoids have a new option when conservative treatments like rest, elevation and medicated creams and ointments do not provide effective relief. Crozer Gastroenterology Associates now offers a non-surgical, generally painless treatment that can be performed in the office without the need for preparation, fasting or sedation: hemorrhoid banding using the patented CRH O’Regan System.

Crozer GI Associates Offer Direct Access Scheduling for Screening Colonoscopies

Screening for colorectal cancer allows for the early detection of cancer when it is highly curable, as well as the detection of growths (known as polyps) that could become cancerous. To make it as easy as possible for our patients to schedule a colonoscopy appointment, some Crozer-Keystone physicians now offer “direct access” scheduling for screening colonoscopies. This means that a separate consultation visit at the physician’s office is not required.

What is Direct Access Colonoscopy?

The process has two parts: colon cancer screening and polyp detection. A prior consultation is not necessary. 

Who is eligible for Direct Access Colonoscopy?

  • Asymptomatic patients
  • Patients who are healthy or have stable medical problems

Who may benefit?

“Non-surgical hemorrhoid banding using the O’Regan System can be very beneficial for people who have mild to moderate hemorrhoid symptoms that do not improve with more conservative treatments,” says Joyann Kroser, M.D., a Crozer-Keystone Health System gastroenterologist and member of Crozer Gastroenterology Associates. “The procedure has a very low complication rate and a very high success rate.”

How does it differ from other treatments?

Other hemorrhoid banding techniques typically use metal clamps or an endoscopic procedure — typically performed by a colorectal surgeon — requiring preparation, fasting and sedation.

“The CHR O’Regan System is a better adaptation using an applicator [that uses gentle suction to hold the hemorrhoid in place and apply a rubber band at the base of the hemorrhoid], without the need to visualize the rectum using an endoscope, so it can be performed by a trained gastroenterologist in the office,” Kroser explains. “The procedure does not require any fasting, preparation or sedation, and it is quick to perform and generally painless for the patient.

“Patients typically return to their normal activities shortly after the procedure,” Kroser says. “The rubber band cuts off the blood supply to the hemorrhoid, causing it to shrink and fall off, typically within a few days. Patients require from one to three visits depending on the number of veins affected by hemorrhoids.”

Although there are other non-surgical treatments for internal hemorrhoids, including infrared coagulation therapy, ultroid treatment and sclerotherapy, Crozer Gastrenterology Associates does not currently offer these procedures. “We have not observed that they are more effective than rubber band ligation, and we think they are more uncomfortable for the patient,” Kroser says. 

Other colorectal conditions, such as external hemorrhoids and anal fissures, may require a different approach. “For example, if a patient is experiencing anal pain, and it looks like it is suspicious for an anal fissure, our first line of treatment is application of nitroglycerin ointment,” Kroser says. 

The physicians of Crozer Gastroenterology Associates also work closely with colorectal surgeons when patients need other options. “A small percentage of patients who might need a more definitive surgical treatment,” Kroser says. “If we find that our treatment approach is not indicated, or is not effective, we will refer the patient to a colorectal surgeon.”    

For more information about the CHR O’Regan System, visit http://www.crhsystem.com/.

Crozer-Keystone offers a range of board-certified physicians who are trained in the latest technologies and procedures to comprehensively diagnose, manage and treat gastrointestinal and liver conditions. For more information or to make an appointment, visit http://gi.crozerkeystone.org or call 1-877-CKHS-GI1 (254-7441).

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