Non-Surgical Options for Hemorrhoids: Is Endoscopic Ligation Right for You? - Gastroenterology and Hepatology

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When it comes to managing hemorrhoids, especially in cases where both internal and external hemorrhoids are present, patients often face a difficult decision regarding treatment options. In your case, with a diagnosis of Grade III internal hemorrhoids, surgical intervention is typically recommended. However, your concerns about surgery, hospitalization, and postoperative care are valid and shared by many patients.

Endoscopic ligation, also known as rubber band ligation, is a minimally invasive procedure that can be an effective alternative for managing internal hemorrhoids. This technique involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply. Over time, the hemorrhoid shrinks and eventually falls off. This procedure is generally performed in an outpatient setting, meaning you would not need to stay overnight in the hospital, and it typically involves minimal discomfort and a quick recovery time.

For patients like you, who may be apprehensive about traditional surgery, endoscopic ligation can be an appealing option. It is less invasive, does not usually require general anesthesia, and has a lower risk of complications compared to surgical hemorrhoidectomy. Additionally, because it is performed without incisions, there is no scarring, which is another benefit you mentioned.

However, it is important to note that endoscopic ligation is most effective for Grade I and II hemorrhoids. For Grade III hemorrhoids, while ligation can still be performed, it may not provide a permanent solution, and there is a possibility that the hemorrhoids could recur. Therefore, it is crucial to have a thorough discussion with your healthcare provider about the potential benefits and limitations of this procedure in your specific case.

Regarding your question about where to find hospitals in Kaohsiung that perform endoscopic ligation, I recommend reaching out to local gastroenterology or colorectal surgery departments. Many hospitals and clinics specializing in gastrointestinal disorders offer this procedure. You can also consult with your primary care physician or a gastroenterologist for referrals to specialists who perform endoscopic ligation.

In conclusion, while endoscopic ligation may be a suitable option for managing your hemorrhoids, it is essential to have a detailed discussion with your healthcare provider to evaluate whether it is appropriate for your specific condition. They can help you weigh the risks and benefits of this procedure compared to traditional surgical options, ensuring you make an informed decision that aligns with your health needs and personal preferences.