[Proctoscopic Doppler ultrasound in diagnosis and therapy of symptomatic first degree hemorrhoids ].
Within the framework of a prospective study two comparable collectives with each 62 patients and symptomatic first grade hemorrhoidal disease were examined. Guiding symptom was painless hematochezia. The hemorrhoids of collective A were evaluated with the aid of transproctoscopic Doppler ultrasound. The depth of the vessels was determined and a Doppler located injection therapy was performed. The patients of collective B were only investigated by means of proctoscopy and sclerosed without Doppler. Sclerosing injection was carried out in all cases with 6 ml Phenylamygdalic oil by 3, 7 and 11 o'clock lithotomy position. Success of therapy was controlled in all patients 2 weeks later Doppler sonographically. In 87% of the Doppler controlled treated patients the hemorrhoids were completely eliminated and no more arterial blood flow could be scanned. On the contrary only 37% of the initially not Doppler scanned patients were cured. Endoscopic Doppler ultrasound is and effective method in evaluation and treatment of symptomatic first grade hemorrhoids.
Jaspersen
D
D
Medizinische Klinik II, Städtisches Klinikum, Fulda.
Körner
T
T
Schorr
W
W
Wzatek
J
J
Hammar
C H
CH
D001783:Blood Flow Velocity / Q000187:drug effects / Q000502:physiology; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000188:drug therapy; D006484:Hemorrhoids / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D011446:Prospective Studies; D012007:Rectum / Q000098:blood supply; D015911:Sclerotherapy; D014463:Ultrasonography
Die proktoskopische Dopplersonographie in Diagnostik und Therapie symptomatischer erstgradiger Hämorrhoiden.