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StatPearls, LLC

  • Hemorrhoids
  • Ligation
  • Prolapse
  • Sclerotherapy
  • Ulcer

Hemorrhoid Banding

Hemorrhoids are a common condition that can cause significant discomfort. Among the available treatment options, rubber band ligation (RBL) is a widely utilized and minimally invasive procedure for addressing this issue. Initially described by Blaisdel and popularized by Barron in 1963, RBL is effective for grades 1 and 2 internal hemorrhoids. This simple procedure is typically performed in an office without bowel preparation or sedation. RBL involves placing a rubber band around the hemorrhoid, inducing ischemia in the hemorrhoidal tissue; this leads to tissue detachment and ulcer formation, promoting healing and tissue attachment to the rectal wall. Comparative studies show RBL’s superiority over other treatments like sclerotherapy and infrared coagulation. The procedure is performed just above the dentate line due to the lack of somatic sensitivity in this area, minimizing discomfort. Office-based procedures aim to alleviate symptoms, reduce hemorrhoidal tissue size and vascularity, and enhance tissue attachment, minimizing the chances of postoperative prolapse. While these interventions are generally well-tolerated and associated with reduced pain, discussions about complications, recurrence rates, and the potential need for repeated procedures are essential for patients and healthcare providers. This activity describes hemorrhoid banding, exploring its historical context, procedural details, and comparative advantages. Communication and collaboration among the interprofessional care team, including physicians, nurses, and support staff, contribute to improved patient care.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

AAPA Category 1 Credit™Up to 1.5 creditsAMA PRA Category 1 Credit™Up to 1.5 creditsNursingUp to 1.5 creditsPharmacyUp to 1.5 credits

MOC types

ABS — Accredited CMEUp to 1.5 pointsABTS — Accredited CMEUp to 1.5 pointsABIM — Medical KnowledgeUp to 1.5 pointsABS — Self-AssessmentUp to 1.5 pointsABP — Lifelong Learning and Self-AssessmentUp to 1.5 pointsABTS — Self-AssessmentUp to 1.5 points

FDA REMS

No

Qualifies for MIPS

No

Target Specialties

Pricing

Fee varies

This provider typically $49–98

See fees on statpearls.com

Listed by the provider

  • Article / monograph / reference
  • Credit · Up to 1.5 credits
  • MOC · Up to 1.5 points
  • Fee varies · this provider typically $49–98
  • Released
    Sep 1, 2026
  • Last day to claim credit
    Sep 1, 2029 3 years left

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