A safe procedure used to treat problems associated with hemorrhoids, such as bleeding and fecal soiling.
What is hemorrhoid banding?
Hemorrhoid banding is a safe procedure in which the hemorrhoid is tied off at the base with a rubber band, cutting off the blood flow to the hemorrhoid, causing it to shrink and fall off within 1-2 weeks. Most patients require 3 treatments, generally over a period of 3 months. Hemorrhoid banding is used to treat problems associated with hemorrhoids, such as bleeding and fecal soiling.
Who is eligible for hemorrhoid banding?
Adult patients who have internal hemorrhoids may be eligible for hemorrhoid banding. External hemorrhoids cannot be treated with banding.
You are not eligible for hemorrhoid banding if you have liver disease (cirrhosis or portal hypertension), inflammatory bowel disease (Crohn’s or ulcerative colitis), are pregnant, have had an organ transplant, have a BMI over 50, or are on chronic anticoagulation. Patients taking immunosuppression will be evaluated by the provider on a case-by-case basis.
What should I expect during the procedure?
The procedure will be performed at one of the clinics of MNGI Digestive Health. Your doctor will review your history and perform a digital (finger) rectal exam. Then, a short viewing instrument (anoscope) is placed into the anus. The anoscope is removed, and then the smaller banding tube is placed into the rectum. A small button of lining tissue is suctioned, and the band is placed over it. There may be mild, dull discomfort resembling the urge to have a bowel movement after placement of the band, but there may be no discomfort at all. Your doctor will ask you if you have a pinching sensation, and if so, the band is adjusted immediately. Most patients require 3 treatments.
What should I expect after the procedure?
There is sometimes some bleeding or mild discomfort. Any uncomfortable sensation can usually be adjusted while you are still on the examination table. If you have any concerns, call us at 612-871-1145.
What are the possible complications associated with hemorrhoid banding?
Complications associated with this procedure are rare. However, if there is a substantial amount of bleeding, severe pain, chills, fever, or difficulty passing urine, please call our office at 612-871-1145 or go to the emergency room. If you go to the emergency room, please notify our office immediately to have the on-call physician contacted.
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