Evidence map›Paper›PMID 40338393›Full record

ArticleTechniques in coloproctology2025

Efficacy and safety of office-based procedures for hemorrhoidal disease in patients with inflammatory bowel disease.

T Carvalho, T Leal, B Arroja, P Mesquita, I Malta, T Gago, A R Gonçalves, R Coelho, S B Ponte, P Salgueiro and 7 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

T Carvalho *Gastroenterology Department, Unidade Local de Saúde de Braga, Braga, Portugal.
T Leal *Gastroenterology Department, Unidade Local de Saúde de Braga, Braga, Portugal.
B ArrojaGastroenterology Department, Unidade Local de Saúde de Braga, Braga, Portugal.
P MesquitaGastroenterology Department, Unidade Local de Saúde Gaia E Espinho, Gaia, Portugal.
I MaltaGastroenterology Department, Unidade Local de Saúde Algarve, Faro, Portugal.
T GagoGastroenterology Department, Unidade Local de Saúde Algarve, Faro, Portugal.
A R GonçalvesGastroenterology Department, Unidade Local de Saúde de São João, Porto, Portugal.
R CoelhoGastroenterology Department, Unidade Local de Saúde de São João, Porto, Portugal.
S B PonteGastroenterology Department, Unidade Local de Saúde de Santo António, Porto, Portugal.
P SalgueiroGastroenterology Department, Unidade Local de Saúde de Santo António, Porto, Portugal.
F Castro-PoçasGastroenterology Department, Unidade Local de Saúde de Santo António, Porto, Portugal.
A C BravoGastroenterology Department, Unidade Local de Saúde de Loures-Odivelas, Loures, Portugal.
C GouveiaGastroenterology Department, Unidade Local de Saúde de Loures-Odivelas, Loures, Portugal.
A M OliveiraGastroenterology Department, Unidade Local de Saúde de Amadora/Sintra, Amadora, Portugal.
M FranciscoGastroenterology Department, Unidade Local de Saúde de Amadora/Sintra, Amadora, Portugal.
R GonçalvesGastroenterology Department, Unidade Local de Saúde de Braga, Braga, Portugal.
A C CaetanoGastroenterology Department, Unidade Local de Saúde de Braga, Braga, Portugal. taniacarvalho1994@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemorrhoidal disease (HD) affects 2-20% of patients with inflammatory bowel disease (IBD) but treatment recommendations are scarce due to fear of higher morbidity in these patients. Currently, there is almost no data regarding nonsurgical treatment for HD in patients with IBD. This study aimed to evaluate the safety and efficacy of office-based procedures for HD in patients with IBD.

methodsA Portuguese multicenter retrospective study of patients with IBD undergoing office-based treatment for HD between July 2013 and December 2021 was performed. Data regarding the patients' IBD (type, disease location, medication, endoscopic remission) and HD (clinical success, recurrence, complications) were analyzed.

resultsA total of 129 patients were included, 90 with ulcerative colitis and 37 with Crohn's disease. Only 55% of patients presented endoscopic remission and 18% were under biologics. Additionally, 77 patients underwent rubber band ligation (RBL), 44 underwent polidocanol injection, and 8 had both treatments, for a total of 304 procedures. The treatment of HD was effective in 88% of patients, of which 16% relapsed (mean follow-up time of 55.3 ± 34.5 months). Complications were described in 17 (5.6%) procedures, 2 (0.66%) requiring invasive treatment. There were no cases of suppuration, stenosis, or anal incontinence. Success, relapse, and complications were not associated with IBD features. Clinical success and recurrence were similar between RBL and polidocanol foam sclerotherapy (PFS). RBL had more complications than PFS (15.6% versus 2.6%).

conclusionsThis study is the first to focus exclusively on office-based procedures for hemorrhoidal disease in patients with IBD, demonstrating similar efficacy to the general population and a low complication rate.

Indexed as

Ambulatory Surgical ProceduresHemorrhoidsInflammatory Bowel DiseasesAdultAgedColitis, UlcerativeCrohn DiseaseFemaleHumansLigationMaleMiddle AgedPolidocanolPortugalRecurrenceRetrospective StudiesPolidocanolSclerosing SolutionsEfficacyHemorrhoidal diseaseInflammatory bowel diseaseOffice-based proceduresSafety

Identifiers

PMID40338393
PMCPMC12062045

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.