Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients
2025

Injection Sclerotherapy for Haemorrhoids in Patients on Anticoagulation

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): Paras Batra, A O’Connor, J Walmsley, W Baraza, A Sharma

Primary Institution: Manchester University NHS Foundation Trust, UK

Hypothesis

Can injection sclerotherapy be an effective treatment for symptomatic haemorrhoids in patients who are on anticoagulation therapy?

Conclusion

Injection sclerotherapy is a potentially safe and effective treatment option for patients with symptomatic haemorrhoids who require anticoagulation.

Supporting Evidence

  • 90% of patients achieved symptom resolution after injection sclerotherapy.
  • No complications were reported in the study.
  • The median age of participants was 64 years.

Takeaway

Doctors can use a special injection to help patients with bleeding piles even if they are taking blood thinners, which usually makes treatment harder.

Methodology

A retrospective review of case notes was performed for patients treated with injection sclerotherapy for symptomatic haemorrhoids while on anticoagulation.

Potential Biases

Potential bias due to reliance on patient-reported complications and outcomes.

Limitations

The study was retrospective with a small sample size and relied on patient-reported outcomes.

Participant Demographics

Median age of 64 years, 14 males and 6 females.

Digital Object Identifier (DOI)

10.1308/rcsann.2023.0097

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