scholarly journals Successful treatment of painful internal hemorrhoids using aluminum potassium sulfate and tannic acid (ALTA) injection therapy in a terminal-stage patient

2012 ◽  
Vol 7 (2) ◽  
pp. 562-567
Author(s):  
Toru Ito ◽  
Eizhi Inagi
Keyword(s):  
Tannic Acid ◽  
Successful Treatment ◽  
Potassium Sulfate ◽  
Injection Therapy ◽  
Terminal Stage ◽  
Internal Hemorrhoids

scholarly journals Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Yuichi Tomiki ◽  
Seigo Ono ◽  
Jun Aoki ◽  
Rina Takahashi ◽  
Shun Ishiyama ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Tannic Acid ◽  
Internal Hemorrhoid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Normal Position ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Internal Hemorrhoids ◽  
Mild Fever

Objective. A new sclerosing agent for hemorrhoids, aluminum potassium sulfate and tannic acid (ALTA), is attracting attention as a curative treatment for internal hemorrhoids without resection. The outcome and safety of ALTA sclerotherapy using an endoscope were investigated in the present study. Materials and Methods. Subjects comprised 83 internal hemorrhoid patients (61 males and 22 females). An endoscope was inserted and retroflexed in the rectum, and a 1st-step injection was applied to the upper parts of the hemorrhoids. The retroflexed scope was returned to the normal position, and 2nd–4th-step injections were applied to the middle and lower parts of the hemorrhoids under direct vision. The effects of endoscopic ALTA sclerotherapy were determined by evaluating the condition of the hemorrhoids using an anoscope and interviewing the patient 28 days after the treatment. Results. A cure, improvement, and failure were observed in 54 (65.1%), 27 (32.5%), and 2 (2.4%) patients, respectively, treated with ALTA. Complications developed in 4 patients (mild fever in 3 and hematuria in 1). Recurrence occurred in 9.6%. Conclusions. The results of the present study suggest that endoscopic ALTA has the potential to become a useful and minimally invasive approach for ALTA sclerotherapy.

Aluminum potassium sulfate and tannic acid (ALTA) injection as the mainstay of treatment for internal hemorrhoids

Surgery Today ◽  
2011 ◽  
Vol 41 (6) ◽  
pp. 806-809 ◽  
Author(s):  
Yoshikazu Hachiro ◽  
Masao Kunimoto ◽  
Tatsuya Abe ◽  
Masahiro Kitada ◽  
Yoshiaki Ebisawa
Keyword(s):  
Tannic Acid ◽  
Potassium Sulfate ◽  
Internal Hemorrhoids

scholarly journals Endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid for internal hemorrhoids

Endoscopy ◽  
2014 ◽  
Vol 46 (S 01) ◽  
pp. E114-E114 ◽  
Author(s):  
Yuichi Tomiki ◽  
Seigo Ono ◽  
Jun Aoki ◽  
Rina Takahashi ◽  
Kazuhiro Sakamoto
Keyword(s):  
Tannic Acid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Internal Hemorrhoids

scholarly journals Effectiveness of Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid as a Non-Surgical Treatment for Internal Hemorrhoids

2019 ◽  
Vol 52 (6) ◽  
pp. 581-587 ◽  
Author(s):  
Yuichi Tomiki ◽  
Jun Aoki ◽  
Shunsuke Motegi ◽  
Rina Takahashi ◽  
Toshiaki Hagiwara ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tannic Acid ◽  
Potassium Sulfate ◽  
Endoscopic Sclerotherapy ◽  
Internal Hemorrhoids ◽  
Non Surgical Treatment

scholarly journals Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yoshiro Itatani ◽  
Tomoaki Okada ◽  
Kenji Kawada ◽  
Koya Hida ◽  
Nobu Oshima ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Tannic Acid ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anal Verge ◽  
Potassium Sulfate ◽  
Robot Assisted ◽  
Sclerosing Therapy ◽  
Double Stapling ◽  
Internal Hemorrhoids

Abstract Background Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injection has been widely used, there are no previous reports of rectal cancer patients who underwent robot-assisted low anterior resection (Rob-LAR) after ALTA injection to treat internal hemorrhoids. Case presentation A 70-year-old man with rectal cancer was presented to our hospital. He had an ALTA injection 2 months before presentation at a clinic due to hematochezia with internal hemorrhoids. The rectal tumor was located 7 cm above the anal verge, and Rob-LAR with the da Vinci Xi system was performed. The patient had sclerosis on the stump of the anal side, which made it difficult to transect the rectum with linear staplers. This required multiple repeats of compression through the SmartClamp feedback. After anastomosis with the double-stapling technique, we constructed a diverting ileostomy. Conclusion Although ALTA injection is a promising strategy for internal hemorrhoids, rectal cancer should be excluded before the sclerosing therapy.

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