Profiles of Cases of Internal Hemorrhoids Retreated after Initial Treatment by Sclerosing Therapy with Aluminum Potassium Sulfate Tannic Acid (ALTA). Can ALTA be a Successful Radical Treatment for Hemorrhoids?

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  • ALTA内痔核硬化療法施行後の再治療症例の検討~ALTA療法は痔核根治術となりうるか~

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Abstract

We treated 452 cases of internal hemorrhoids (IH) only with aluminum potassium sulfate tannic acid (ALTA) from April 2005 until December 2006 at Kunimoto Hospital. Of these, we retreated 16 cases, consisting of 6 relapsed IH cases and 10 cases with remaining external hemorrhoids (EH) that were not injected with ALTA. The causes of IH recurrence were insufficient dosage of ALTA (4 cases), inaccuracy in site of injection (1 case), and unknown etiology (1 case). Our experience suggests that the full-dose of ALTA required to induce a reduction of IH should be injected at the precise site, and that patients with EH are not indicated for ALTA. Therefore, in cases which comply strictly with the above criteria, we consider that treatment with ALTA could be a curative treatment for IH comparable to operation involving ligation and excision (LE).<br>

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