Annals of Colorectal Research

Published by: Kowsar

Sclerotherapy Using Aluminum Potassium Sulfate and Tannic Acid (ALTA) for Haemorrhoids in Patients With Liver Cirrhosis

Hidenori Miyamoto 1 , 2 , * , Tateo Nakagawa 3 , Hideyuki Miyamoto 1 and Atsushi Takata 2
Authors Information
1 Department of Surgery and Proctologic Surgery, Miyamoto Hospital, Anan, Japan
2 Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan
3 Department of Surgery, Mizunomiyako Memorial Hospital, Tokushima, Japan
Article information
  • Annals of Colorectal Research: December 01, 2015, 3 (4); e32980
  • Published Online: December 19, 2015
  • Article Type: Brief Report
  • Received: September 8, 2015
  • Accepted: October 27, 2015
  • DOI: 10.17795/acr-32980

To Cite: Miyamoto H, Nakagawa T, Miyamoto H, Takata A. Sclerotherapy Using Aluminum Potassium Sulfate and Tannic Acid (ALTA) for Haemorrhoids in Patients With Liver Cirrhosis, Ann Colorectal Res. 2015 ; 3(4):e32980. doi: 10.17795/acr-32980.

Copyright © 2015, Colorectal Research Center and Health Policy Research Center of Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Misra SP, Dwivedi M, Misra V. Prevalence and factors influencing hemorrhoids, anorectal varices, and colopathy in patients with portal hypertension. Endoscopy. 1996; 28(4): 340-5[DOI][PubMed]
  • 2. Wang TF, Lee FY, Tsai YT, Lee SD, Wang SS, Hsia HC, et al. Relationship of portal pressure, anorectal varices and hemorrhoids in cirrhotic patients. J Hepatol. 1992; 15(1-2): 170-3[PubMed]
  • 3. Jacobs DM, Bubrick MP, Onstad GR, Hitchcock CR. The relationship of hemorrhoids to portal hypertension. Dis Colon Rectum. 1980; 23(8): 567-9[PubMed]
  • 4. Bernstein WC. What are hemorrhoids and what is their relationship to the portal venous system? Dis Colon Rectum. 1983; 26(12): 829-34[PubMed]
  • 5. Kalafateli M, Triantos CK, Nikolopoulou V, Burroughs A. Non-variceal gastrointestinal bleeding in patients with liver cirrhosis: a review. Dig Dis Sci. 2012; 57(11): 2743-54[DOI][PubMed]
  • 6. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990; 98(2): 380-6[PubMed]
  • 7. Miyamoto H, Asanoma M, Miyamoto H, Takasu C, Shimada M. Three-dimensional power Doppler transanal ultrasonography, to monitor haemorrhoidal blood flow after Doppler-guided ALTA sclerosing therapy. Colorectal Dis. 2013; 15(2)-8[DOI][PubMed]
  • 8. Miyamoto H, Asanoma M, Miyamoto H, Takasu C, Masamune K, Shimada M. Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography. Colorectal Dis. 2013; 15(11)-91[DOI][PubMed]
  • 9. Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973; 60(8): 646-9[PubMed]
  • 10. Altomare DF, Giuratrabocchetta S. Conservative and surgical treatment of haemorrhoids. Nat Rev Gastroenterol Hepatol. 2013; 10(9): 513-21[DOI][PubMed]
  • 11. Miyamoto H. ALTA sclerotherapy: the new sclerotherapy for curing advanced internal hemorrhoids. 2014; : 149-64
  • 12. Huang WS, Lin PY, Chin CC, Yeh CH, Hsieh CC, Chang TS, et al. Stapled hemorrhoidopexy for prolapsed hemorrhoids in patients with liver cirrhosis; a preliminary outcome for 8-case experience. Int J Colorectal Dis. 2007; 22(9): 1083-9[DOI][PubMed]
  • 13. Zaher T, Ibrahim I, Ibrahim A. Endoscopic band ligation of internal haemorrhoids versus stapled haemorrhoidopexy in patients with portal hypertension. Arab J Gastroenterol. 2011; 12(1): 11-4[DOI][PubMed]
  • 14. Awad AE, Soliman HH, Saif SA, Darwish AM, Mosaad S, Elfert AA. A prospective randomised comparative study of endoscopic band ligation versus injection sclerotherapy of bleeding internal haemorrhoids in patients with liver cirrhosis. Arab J Gastroenterol. 2012; 13(2): 77-81[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments