Comparison of Hemorrhoid Sclerotherapy Using Glucose 50% vs. Phenol in Olive Oil

authors:

avatar Alireza Khazae 1 , avatar Mansoureh Sargazi-Moghadam 2 , * , avatar Morteza Mazouch 3 , avatar Zahra Mirhoseini 4

Department of Surgery, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
Department of Surgery, Zahedan University of Medical Sciences, Zahedan, Iran
Department of Surgery, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
Department of Internal Medicine, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan , Iran

How To Cite Khazae A, Sargazi-Moghadam M, Mazouch M, Mirhoseini Z. Comparison of Hemorrhoid Sclerotherapy Using Glucose 50% vs. Phenol in Olive Oil. Zahedan J Res Med Sci. 2014;16(1): 32-35. 

Abstract

Background: Sclerotherapy is a safe hemorrhoid treatment with minimum costs and side effects. The expensive present sclerosants reduce our tendency to use this technique, so we conducted this study in a try to replace them.
Patients and Methods: This is a prospective study on 170 hemorrhoid cases visited at Imam Ali and Khatam clinics during a year. Patients were randomly divided into case and control groups. After sedation and proctoscopy 3 ml of “50% glucose” and “phenol in olive oil” solutions were injected in each hemorrhoid pile of case and control groups respectively. Patients were assessed 1 week and 3 months thereafter. Data was analyzed via SPSS-17 software, using χ2 and t-student tests.
Results: Out of 71 cases and 73 controls, 55.6% were female. The most common chief complaint was bleeding (51.4%). The 2 groups were even regarding gender, age and chief complaint. (p-value respectively 0.412, 0.876, 0.146). Bleeding after1 week and 3 months and response rate didn’t show a significant statistical difference between 2 groups. (p- value respectively 0.914, 0.731, 0.422). Finally 19 patients didn’t respond to any treatment (13.2%).
Conclusions: In an even sample sclerotherapy with 50% glucose can be as efficient as phenol in olive oil solution. Regarding cultural characteristics, we hope that evolving non surgical techniques may encourage patients to seek early treatments.

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