嵌頓痔核の保存的治療後に根治手術としてALTA を施行した１例

概要

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Aluminum potassium sulfate and tannic acid（ALTA）are able to induce noninvasive sclerosisand involution of hemorrhoids through initiation of inflammatory reaction. A７７-year-old man wasadmitted to our hospital for an incarcerated hemorrhoid. We first performed the conservativetreatment. After three weeks, we performed ALTA sclerosing therapy. Although he had necrosisat the injection site and an anoderm ulcer on the１st post-operative day, he had few of pain and fever.He was cured on the３２nd post-operative day. Although he had recurrence on the３０６th post-operativeday, we performed re-ALTA sclerosing therapy. After that, he had no relapse and had good qualityof life. For incarcerated hemorrhoids, the ALTA sclerosing therapy might be performed after someperiod of the conservative treatment.
2011-08-25