Doppler-guided haemorrhoidal artery ligation in patients with Crohn's disease

Eliad Karin, Shmuel Avital, Iris Dotan, Yehuda Skornick, Ron Greenberg

Research output: Contribution to journalArticlepeer-review


Aim: The outcome of Doppler-guided haemorrhoidal artery ligation (DGHAL) was assessed in patients with Crohn's disease (CD) suffering from grade III haemorrhoids. Method: A retrospective study was carried out of patients with CD and symptomatic Grade III haemorrhoids treated by DGHAL. Perioperative and follow-up data were retrieved from our database of patients undergoing DGHAL. Results: The study included seven men and six women. The mean age was 34years old. All had CD without anorectal involvement. The median duration of haemorrhoidal symptoms was 6.3years. There was no mortality, new incontinence, faecal impaction, urinary retention, abscess formation or persistent pain following the procedure. Mean pain score based on a visual analogue scale (VAS) decreased from 2.4 at 24h postoperatively to 1.6 on the seventh postoperative day. All patients had completely recovered by the third postoperative day. At 18months, three (77%) of the patients were asymptomatic and three had recurrent symptoms. Conclusion: Doppler-guided haemorrhoidal artery ligation is safe and effective in treating Grade III haemorrhoids in patients with CD without rectal involvement.

Original languageEnglish
Pages (from-to)111-114
Number of pages4
JournalColorectal Disease
Issue number1
StatePublished - Jan 2012


  • Crohn's disease
  • Doppler-guided haemorrhoidal artery ligation
  • Haemorrhoids


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