ORIGINAL RESEARCH article
Front. Physiol.
Sec. Gastrointestinal Sciences
Endoscopic Excision for Internal and Mixed Hemorrhoids: A Retrospective Case Series of Short-Term Outcomes
Provisionally accepted
- Zhoushan Hospital, Zhejiang University School of Medicine, Zhoushan, China
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Objective: This study aimed to investigate the short-term clinical outcomes and safety of endoscopic excision for the management of internal and mixed hemorrhoids. Methods: A retrospective analysis was conducted on 20 patients with Grade II to Grade IV internal or mixed hemorrhoids who underwent endoscopic excision at Zhoushan Hospital between January 2024 and December 2024. All patients had complete follow-up data. Results: At 3 and 6 months after surgery, the treatment effectiveness rate was 100%, and both postoperative satisfaction and acceptance rates were 100%. No severe postoperative complications occurred, and no bleeding or infection was observed. Mild pain developed in 3 patients, a transient sensation of anal heaviness and distension occurred in 1 patient, and temporary urinary retention occurred in 1 patient, which resolved after local hot compress therapy. Postoperative pathological examinations confirmed that the resected anorectal masses demonstrated changes consistent with hemorrhoidal tissue. Conclusion: Endoscopic excision for internal and mixed hemorrhoids is a safe and effective therapeutic approach. It provides significant symptom relief, yields high postoperative satisfaction and acceptance among patients, and allows for definitive pathological confirmation of the nature of the resected anorectal tissue.
Keywords: Endoscopic excision, Internal hemorrhoids, Mixed hemorrhoids, Safety, short-term clinical outcomes analysis
Received: 08 Dec 2025; Accepted: 02 Feb 2026.
Copyright: © 2026 Xu, Qiu, Xu, Zhuang and Qu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Bingfeng Qiu
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