Rubber band ligation is a common procedure, and while generally safe, complications can occur. The most frequently reported complications are pain and bleeding.
According to a review of 39 studies involving 8060 patients who underwent rubber band ligation, post-banding complications were observed in approximately 14% of cases.
Common and Less Frequent Complications
Based on the review cited, the specific rates of complications are detailed below:
- Severe Pain: Occurred in 5.8% of patients. Pain is often managed with medication, but severe cases can be significant.
- Haemorrhage (Bleeding): Was reported in 1.7% of patients. Post-procedure bleeding is possible as the ligated tissue heals and sloughs off.
- Anal Fissure and Fistula: Accounted for 0.4% of complications. These are less common but more serious issues involving tears or abnormal connections in the anal area.
- Infection: Was the rarest complication reported, occurring in 0.05% of patients. While infrequent, infection is a serious complication requiring prompt medical attention.
Here is a summary of the complication rates from the review:
| Complication | Percentage of Patients |
|---|---|
| Severe Pain | 5.8% |
| Haemorrhage | 1.7% |
| Anal Fissure and Fistula | 0.4% |
| Infection | 0.05% |
| Overall Complications | 14% |
Understanding these potential complications helps patients and clinicians weigh the benefits and risks of rubber band ligation. While most issues are mild and manageable, being aware of the signs of more serious problems like significant bleeding or infection is important.
