Hemorrhoid Banding

Overview

4.4 out of 5 (8 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Jan 2021

Last Review Date

14 Feb 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Hemorrhoids are a common condition that can cause significant discomfort. Among the available treatment options, rubber band ligation (RBL) is a widely utilized and minimally invasive procedure for addressing this issue. Initially described by Blaisdel and popularized by Barron in 1963, RBL is effective for grades 1 and 2 internal hemorrhoids. This simple procedure is typically performed in an office without bowel preparation or sedation. RBL involves placing a rubber band around the hemorrhoid, inducing ischemia in the hemorrhoidal tissue; this leads to tissue detachment and ulcer formation, promoting healing and tissue attachment to the rectal wall. Comparative studies show RBL's superiority over other treatments like sclerotherapy and infrared coagulation. The procedure is performed just above the dentate line due to the lack of somatic sensitivity in this area, minimizing discomfort. Office-based procedures aim to alleviate symptoms, reduce hemorrhoidal tissue size and vascularity, and enhance tissue attachment, minimizing the chances of postoperative prolapse. While these interventions are generally well-tolerated and associated with reduced pain, discussions about complications, recurrence rates, and the potential need for repeated procedures are essential for patients and healthcare providers.

This activity describes hemorrhoid banding, exploring its historical context, procedural details, and comparative advantages. Communication and collaboration among the interprofessional care team, including physicians, nurses, and support staff, contribute to improved patient care.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify appropriate candidates for hemorrhoid banding based on the severity of their condition and response to conservative treatments.

  • Differentiate between various treatment options for hemorrhoids and choose rubber band ligation when appropriate for grades 1, 2, and 3 hemorrhoids that fail conservative therapy.

  • Implement the rubber band ligation procedure with precision and attention to detail, including proper placement of rubber bands, positioning, and use of the anoscope.

  • Coordinate with the interprofessional team to optimize patient care, emphasizing each team member's role.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Lori N. on 7/15/2021

katherine h. on 9/27/2022

david h. on 11/24/2022

Ronald L. on 2/19/2023

Daniel C. on 4/1/2023

raoul m. on 10/11/2023

Melissa P. on 1/11/2024

Harry L. on 2/24/2024

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