The use of barron band ligation in the treatment of rectal polyps : a prospective study of 56 cases

Abstract EN

Background : many local procedures had been described for the treatment of rectal polyps by a lot of centers throughout the world including staplers, local fulguration, trans anal endoscopic microsurgery (TEM), etc.

We tried using Barron band ligation for the purpose of removing these polyps as a new application for this procedure which has been used previousely as one of the standard procedures for the treatment of hemorrhoids.

Methods : in the period between the 18th of April 2001 and the 27th of September 2008, 56 patients with rectal polyps had them removed using Barron band ligation in the outpatient clinic under simple analgesia and direct proctoscope vision and the excised polyps had been sent for histopathology study.

Mean follow up time was 36 months to detect any recurrence or complications of the procedure.

Results : 48 (86 %) were males and 8 (14 %) were females.

51(91 %) of the polyps had been discovered to be benign and 5 (9 %) malignant.

2 (4 %) had bleeding postoperatively, 3 (5 %) had urological symptoms and many had suffered a simple postoperative pain that responded to simple analgesia.

No recurrence had been reported after a mean follow up time of 36 months.

Conclusion : Rubber banding ligature is A safe and easy procedure.

Associated with an acceptable low complication rate.

Can be performed in an outpatient clinic and needs only simple analgesia.

Has a high cure rate for rectal polyps.