Piles Banding

endoscopic banding With rubber band ligation, a small band is applied to the base of the hemorrhoid, stopping the blood supply to the hemorrhoidal mass. Rubber band ligation is a popular procedure for the treatment of hemorrhoids, as it involves a much lower risk of pain than surgical treatments of hemorrhoids, as well as a shorter recovery period (if any at all). It is a very effective procedure and there are multiple methods available. When done with the CRH O'Regan System, it is also associated with a recurrence rate of 5% at 2 years.[1] The procedure is typically performed by gastroenterologists

With traditional RBL, a proctoscope is inserted into the anal opening. The hemorrhoid is grasped by forceps and maneuvered into the cylindrical opening of the ligator. The ligator is then pushed up against the base of the hemorrhoid, and the rubber band is applied. Reusable instruments have also been available for many decades to use suction rather than forceps to draw tissue into the instrument so the rubber band can be deployed.

The CRH O'Regan ligation system also eliminates the use of forceps. It is much more expensive on a per-case basis than the reusable suction ligator. It is rarely used by full-time colon and rectal surgeons (Proctologists), but recently has been adopted by many Gastroenterologists to increase the revenue to their practice. The device applies gentle suction which allows the doctor to place a small rubber-band around the base of the hemorrhoid.[3] Three banding sessions are typically required at 2 week intervals for a complete treatment. More bands can be applied if the patient is under general anesthetic, although the recovery time may be prolonged and be more painful.