ArticleTechniques in coloproctology2021
Superior rectal artery embolization for bleeding internal hemorrhoids.
Article in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Outcomes of embolization therapy of superior rectal arteries for the management of grade 1 to 3 internal hemorrhoids: a systematic Review of clinical studies.International journal of colorectal disease · 2025Pooled it
- Biochemical evaluation of Jihua hemostatic suppository in hemorrhagic internal hemorrhoids: Modulation of XPO1, VEGF, and collagen I/III expression and inflammatory biomarkers.Journal of medical biochemistry · 2026Article
- Rectal artery embolization: recent advances and research progress.Frontiers in medicine · 2026Review
- Arterial Embolization for the Internal Hemorrhoids Management: A Systematic Review.Health science reports · 2026Review
- Rectal Artery Embolization for the Treatment of Hemorrhoidal Disease.Seminars in interventional radiology · 2025Review
- Superselective superior rectal artery embolization in the treatment of hemorrhoidal disease.Frontiers in medicine · 2025Review
- Does hemorrhoidal artery embolization really benefit patients with hemorrhoids?World journal of gastroenterology · 2024Article
- Imaging for Hemorrhoidal Disease: Navigating Rectal Artery Embolization from Planning to Follow-up.Seminars in interventional radiology · 2024Review
- Catheter-directed hemorrhoidal embolization for rectal bleeding due to hemorrhoids (Goligher grade I-III): prospective outcomes from a Spanish emborrhoid registry.European radiology · 2023Article
- The Emborrhoid Technique for Treatment of Bleeding Hemorrhoids in Patients with High Surgical Risk.Journal of clinical medicine · 2022Article
- Safety and Effectiveness of a New Electrical Detachable Microcoil for Embolization of Hemorrhoidal Disease, November 2020-December 2021: Results of a Prospective Study.Journal of clinical medicine · 2022Article
- Comparison of different embolic particles for superior rectal arterial embolization of chronic hemorrhoidal bleeding: gelfoam versus microparticle.BMC gastroenterology · 2021Article
- Annoyed with Haemorrhoids? Risks of the Emborrhoid Technique.Digestive diseases and sciences · 2021Article
- Outpatient Transradial Emborrhoid Technique: A Pilot Study.Cardiovascular and interventional radiology · 2021Observational
- Embolization of the superior rectal artery: another management option for hemorrhoids.Techniques in coloproctology · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the present study was to evaluate clinical efficacy and safety of superselective embolization of the superior rectal artery (SRA) for the treatment of internal hemorrhoidal bleeding.
methodsPatients with stage II and stage III internal hemorrhoids, treated by interventional embolization of the SRA in our department between January 2017 and June 2019 were retrospectively evaluated. All patients suffering from disabling chronic hematochezia and some with relative contraindications for operation (n = 17) or rejection of conventional hemorrhoidectomy (n = 15). Superselective SRA branch embolization was performed using gelatin sponge particles (350-560 μm) and metallic coils (2-3 mm). This treatment process was planned by a multidisciplinary team consisting of proctologist, gastroenterologist and radiologist. The surgical efficacy, postoperative complications and follow-up outcomes were observed.
resultsThere were 32 patients (18 males, mean age 52 ± 12 years, range: 22-78 years), 12 (37%) with stage II hemorrhoids and 20 (63%) with stage III hemorrhoids. Embolization was successful in all patients, and bleeding symptoms resolved in 27 (84.4%) patients. The remaining 5 (15.6%) patients underwent either stapled hemorrhoidopexy (n = 4) or sclerotherapy (n = 1). Some patients experienced different degrees of pain (n = 4;12.5%), low fever (n = 11;34.4%), and tenesmus (n = 17;53.1%), which all spontaneously regressed without further treatment. All patients were followed up for at least 1 year. There were no serious complications, such as infection, intestinal ischemia or massive hemorrhage. Four patients (14.8%) had rebleeding during the first months of follow-up. All patients with re-bleeding were successfully treated with internal iliac arteriography and branch embolization and did not experience further bleeds after a minimum follow up 3 months follow-up.
conclusionsThe short-term efficacy of superselective SRA embolization for grade II-III internal hemorrhoids is good, and this method is safe and feasible.
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