Background: Hemorrhoidal disease is very common in western countries and rectal
bleeding is the main symptom complained by patients. Nowadays the ultimate goal of treatment is
to block the bleeding with minimally-invasive techniques to minimize post-procedural pain.
Objective: The aim of this study is to assess the preliminary results of the emborrhoid technique
(embolization of the superior rectal arteries branches) as a new tool for the proctologist to treat severe
bleeding hemorrhoids causing anemia. Many categories of patients might benefit from this
treatment, such as patients not eligible for conventional surgery, patients not responding to conventional
treatment and fit patients with severe bleeding who refused endorectal surgical therapy.
Methods: From May 2017 to November 2018 a total of 16 patients with chronic rectal bleeding
due to hemorrhoids underwent super-selective embolization of the superior rectal arteries at the department
of General Surgery in La Spezia, S. Andrea Hospital, Italy. Median age was 59 years. 14
patients were males (87.5%).
Results: No post-procedural and short-term complications were observed at maximum follow up
(12 months). The reduction of rectal bleeding with improvement of the quality of life was obtained
in 14 patients (87.5%).
Conclusion: Our study, although small in number, demonstrates that embolization of superior rectal
arteries with coils to treat severe bleeding due to hemorrhoids is safe and effective and does not
lead to immediate complications.