Abstract
The usefulness of endoscopic hemorrhoidal ligation using Stiegmann's ligator was discussed. The advantages of this treatment are less pain and short hospitalization due to minimal invasive operation.
Thirty six cases were treated in this method and 33 cases (92%) showed excellent results. However, 3 cases needed following surgical operation because of post-ligated prolapsus in two patients and aggravation of external hemorrhoid in one patient. Thses 3 cases were patients with high grade hemorrhoids (Goligher's III, IV) .
We concluded that indication of endoscopic hemorrhoidal ligation should be limited to the low and middle grade hemorrhoids (Goligher's II, III) .