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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Dec 16, 2025; 17(12): 114581
Published online Dec 16, 2025. doi: 10.4253/wjge.v17.i12.114581
Published online Dec 16, 2025. doi: 10.4253/wjge.v17.i12.114581
Hemorrhoidal elastic band ligation during routine colonoscopy: A comparative study between flexible video endoscopy and rigid proctoscopy
Alexandre Gomes, Enzo Barrio, Guilherme Gomes, José Henrique Carvalho Gandini de Souza, Pérsio Campos Correia Pinto, Ronaldo Antonio Borghesi, Department of Surgery, Faculty of Medical Sciences and Health, Pontifical Catholic University of São Paulo, Sorocaba 18030-070, São Paulo, Brazil
Author contributions: Gomes A contributed to the original idea, study design, procedure development, supervision of the study and writing of the manuscript; Gomes A, Barrio E, Souza JHCCd, and Gomes G contributed to data analysis and interpretation; Barrio E, Souza JHCCd, and Gomes G contributed to data acquisition and drafting of the manuscript; Pinto PCC and Borghesi RA contributed to the review, editing, and approval of the final version of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Faculty of Medical Sciences and Health, Pontifical Catholic University of São Paulo (Approval No. 7.776.404).
Informed consent statement: This research was retrospective, and the requirement for informed consent was waived.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No additional data is available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alexandre Gomes, Adjunct Professor, Department of Surgery, Faculty of Medical Sciences and Health, Pontifical Catholic University of São Paulo, Rua Dr. Luiz Garcia Duarte 125, Sorocaba 18030-070, São Paulo, Brazil. endoclinic@endoclinic.med.br
Received: September 25, 2025
Revised: October 11, 2025
Accepted: November 11, 2025
Published online: December 16, 2025
Processing time: 84 Days and 3.6 Hours
Revised: October 11, 2025
Accepted: November 11, 2025
Published online: December 16, 2025
Processing time: 84 Days and 3.6 Hours
Core Tip
Core Tip: A practical implication of anal examination during colonoscopy is the possibility of immediate treatment of bleeding or prolapse through elastic band ligation. This procedure can be performed via rigid proctoscope band ligation (RPBL) or endoscopic band ligation (EBL). In this study, EBL controlled symptoms in a single application in 92% of patients, whereas RPBL controlled symptoms in 63.54% of patients over 3 sessions or 4 sessions (P < 0.01). EBL was superior to RPBL in terms of internal hemorrhoid symptom control, prolapse recurrence, and short-term bleeding control. Long-term bleeding control and tenesmus rates were comparable, although numerical trends favored EBL. Both methods were similar in terms of costs.