Prospective evaluation of the hemorrhoid energy treatment for the management of bleeding internal hemorrhoids

Figure 1 The hemorrhoid energy treatment bipolar system. A: Hemorrhoid energy treatment (HET) system with bipolar forceps and tissue temperature monitor. Permission for use of image granted by HET System, LLC; B: Electro-surgical generator with HET settings.

Figure 2 Antegrade view of internal hemorrhoids and retroflexed view of the anal verge. A: Antegrade view of internal hemorrhoids with a standard gastroscope; B: Retroflexed view of the anal verge post hemorrhoid energy treatment suggestive of treatment of multiple internal hemorrhoidal columns.

Figure 3 The pediatric biopsy forceps. A and B: Sufficient entrapment of the mucosa above the internal hemorrhoids is indicated with alignment of all three red lines.