BACKGROUND Endoscopic ultrasonography- (EUS-) assisted band ligation has been proven to be a safe and effective procedure for the treatment of small gastrointestinal stromal tumors (GISTs) apart from the relatively high risk of the postligation perforation of the gastric fundus. The aim of this study is to investigate the efficacy of hemoclip reinforcement in treating small GISTs in the gastric...

■ Rubber band ligation is the preferred office procedure for treatment of grade I/II hemorrhoids that do not respond to medical therapy, and treatment of all grade III hemorrhoids. M ost cases of hemorrhoids can be managed in the primary care setting with simple measures and office procedures, including anoscopy. This paper reviews the advantages, disadvantages, and levels of evidence regarding...

The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patients with red flags such as increased age, family history, persistent anorectal bleeding despite t...

OBJECTIVE To evaluate the efficacy and effectiveness of rubber band ligation on 3rd degree haemorrhoids. METHODS Study was done at Surgical Unit, Civil Hospital Karachi, during a period of 19 months from December 2006 to July 2008. Out of 344 patients 80 patients were included in the study with 3rd degree internal haemorrhoids and were treated with Rubber band ligation (RBL). Outcome data was...

Background: The ideal therapy for hemorrhoids is always debated. For early grades of the disease, many different modalities of treatment have been proposed. Some are effective but are more painful, others are less painful but their efficacy is not assured on long term. Infrared photocoagulation has emerged as a new addition to the list. In this procedure, the tissue is coagulated by infrared ra...