Keywords
1. Emborrhoid Technique
2. Hemorrhoid Treatment
3. Rectal Arteries Embolization
4. Minimally Invasive Hemorrhoid Therapy
5. Hemorrhoidal Arteries Microcoils
With the publication of an article in ‘Presse Medicale’ shedding light on a novel approach to hemorrhoid therapy known as the “Emborrhoid” technique, patients with this common yet often debilitating condition are witnessing a new horizon in its management. The innovative technique involves the selective embolization of hemorrhoidal arteries, branches of the superior rectal arteries, utilizing microcoils. The method shows significant potential in dramatically reducing symptoms with minimal recurrence, charting a fresh pathway to address a longstanding concern in colorectal health.
Hemorrhoids, characterized by the swelling of blood vessels in the rectal area, are recognized as a prevalent source of discomfort and rectal bleeding. Traditional treatment options have ranged from conservative management with dietary adjustments and medication to more invasive surgical interventions. However, the latter can often lead to extensive postoperative recovery and potential complications. Thus, the search for alternative therapeutic modalities, especially minimally invasive ones, has been ongoing and pressing.
The “Emborrhoid” procedure stands prominently among the recent advancements in hemorrhoid treatment. This minimally invasive method is underpinned by a pathophysiological concept that emphasizes the hypertrophy of the arterial network associated with hemorrhoid disease. By employing microcoil technology to perform a selective embolization, the procedure effectively reduces blood flow to the problematic hemorrhoidal vessels.
DOI: 10.1016/j.lpm.2019.04.011
In an article published in ‘Presse Medicale’ (volume 48, issue 4, April 2019), titled “Emborrhoid: Rectal arteries embolization for hemorrhoid treatment,” the authors have critically assessed this novel technique. The research team, including Farouk Tradi, Diane Mege, Guillaume Louis, Jean Michel Bartoli, Igor Sielezneff, and Vincent Vidal, associated with the Assistance Publique-Hôpitaux de Marseille and Université Aix-Marseille in France, meticulously analyzed the outcomes of this procedure.
An initial evaluation of the “Emborrhoid” technique on an animal model followed by clinical research involving over 100 patients has rendered a substantial collective of data. The outcomes are promising. Studies chronicled in the article indicate a noteworthy improvement of 60 to 80% in symptoms, with an average recurrence rate of 30% at two years. This recurrence rate is believed to be linked to the possibility of technically incomplete embolization during the procedure.
It is paramount to recognize that the success of the “Emborrhoid” method circumvents the occurrence of ischemic complications, which had remained a pivotal concern in the context of embolization techniques. This assurance of safety, coupled with its efficacious outcomes, positions “Emborrhoid” as a potential game-changer in hemorrhoid management.
Prospects for the future as outlined in the article include a pivot towards more selective embolization employing particulate embolic agents. These agents might offer the advantage of targeting the hemorrhoidal arteries with enhanced precision, potentially further diminishing recurrence rates and optimizing therapeutic results.
The “Emborrhoid” technique marks a significant stride in the journey towards less invasive, more patient-oriented treatment alternatives for hemorrhoids. With the growing body of research supporting its application and continued developments in the technique, it exemplifies modern medicine’s capacity to innovate and tailor interventions with a focus on patient recovery and quality of life.
References
1. Tradi, F., Mege, D., Louis, G., Bartoli, J. M., Sielezneff, I., & Vidal, V. (2019). Emborrhoid: Rectal arteries embolization for hemorrhoid treatment. Presse Medicale, 48(4), 454-459. doi: 10.1016/j.lpm.2019.04.011
2. Lohsiriwat, V. (2015). Treatment of Hemorrhoids: A Coloproctologist’s View. World Journal of Gastroenterology, 21(31), 9245-9252. doi: 10.3748/wjg.v21.i31.9245
3. Ganz, R. A. (2013). The Evaluation and Treatment of Hemorrhoids: A Guide for the Gastroenterologist. Clinical Gastroenterology and Hepatology, 11(6), 593-603. doi: 10.1016/j.cgh.2012.12.020
4. Greenberg, R., Karin, E., Avital, S., Skornick, Y., & Werbin, N. (2006). First 100 Embarrassing Embolization for Hemorrhoidal Disease. American Journal of Surgery, 191(1), 89-94. doi: 10.1016/j.amjsurg.2005.10.038
5. Rivadeneira, D. E., Steele, S. R., Ternent, C., Chalasani, S., Buie, W. D., & Rafferty, J. L. (2011). Practice Parameters for the Management of Hemorrhoids (revised 2010). Dis Colon Rectum, 54(9), 1059-64. doi: 10.1007/DCR.0b013e3182255136
In conclusion, hemorrhoid patients now have an effective alternative to conventional treatments. The “Emborrhoid” technique, highlighted by the referenced article, presents a considerable advancement in the therapeutic arsenal against this condition. While future investigations are warranted to address the challenges of recurrence and refine the embolization approach, the present findings signify a milestone. It is a harbinger of the continuing evolution in medical procedures poised at enhancing patient care and experiences. As this technique continues to be honed and applied, it will likely become a cornerstone in the treatment paradigm for hemorrhoid sufferers around the world.