Endoscopy for Internal Hemorrhoids

Commentary: Rectal bleeding from internal hemorrhoids occurs commonly and is a frequent indication to visit a physician. Some patients may present with severe bleeding and anemia that require hospital admission and/or blood transfusion. Although medical therapy is usually effective for the majority of outpatients, some patients with frequent and/or severe bleeding may require therapy by endoscopy or surgery. In this Clinical Update, Dr Rome Jutabha reviews the indications and contraindications to endoscopic therapy of symptomatic internal hemorrhoids. In addition, Dr Jutabha discusses the relative risks and benefits of the various commercially available endoscopic treatments.

– Richard C. K. Wong, MD, FASGE, Editor

University Hospitals Case Medical Center, Cleveland, OH