Haemorrhoids are usually asymptomatic, and considered a disease only if they become symptomatic. The commonest symptoms rectal bleeding mucosal prolapse. In the majority of patients, haemorrhoids can be managed conservatively by increasing dietary fibre fluid intake along with lifestyle modifications. Those more advanced may sclerotherapy or rubber band ligation. Surgery is reserved for patient...

Sclerotherapy and endoscopic esophageal variceal ligation (EVL) are commonly used to treat and prevent variceal bleeding. As of today, there has been no report on an unexpected incarceration of a varix hooked on with the bands from the endoscopic EVL device. We recently experienced this emergency while using the 7-band ring endoscopic EVL device (Boston Scientific Corp., Boston, MA) for prophyl...

We present a salutary lesson learned from three cases with significant complications that followed anorectal intervention in the presence of radiation proctitis due to prior radiotherapy for adenocarcinoma of the prostate. After apparent routine rubber band ligation for painful haemorrhoids, one patient developed a colo-cutaneous fistula. Following laser coagulation for radiation proctitis, one...

Madam, Variceal ligation is the endoscopic procedure of choice to prevent recurrent variceal haemorrhage and eradicate varices 1,2 . Usually it takes 3-4 sessions for the purpose. Multiple band ligators are now available for rapid ligation 3,4 . These ligators do not require overtube or reloading of bands during the procedure and many bands may be deployed by just rotation of the pulley or hand...