Band ligation using the CRH O’Regan System is extremely safe, with a documented complication rate of approximately 1%. Nevertheless, we would like to share some tips and tricks which help us to achieve the highest level of satisfaction for our patients. I’ll include the most frequently offered tips which will maximize your clinical outcomes while still minimizing any potential risks:
If you have questions regarding the above (or anything else for that matter), please contact ME and we’ll get you whatever information you need!
The May edition of the American Journal of Gastroenterology included two interesting pieces regarding hemorrhoid care. Yang’s group1 published data regarding the cost of hemorrhoid care in a select population within the US in 2014 – approximately $800 million just in the employer-insured population. The paper did not address the indirect costs of lost productivity, etc.
Cosman2 included an editorial offering more color to the topic. What was particularly striking to me was the amount of money spent on medications (98% received a prescription for a topical steroid, for example), so many of which are both costly and relatively ineffective in treating the patient’s condition!
Kim’s group published data in May’s Gastrointestinal Endoscopy3 justifying the colonoscopy of patients with positive FITs even in the face of a recent endoscopic procedure (1-3 years). These pieces each provide support to the following assertions:
Last month, CRH was proud to announce our 22nd anesthesia transaction (and 4th in the state of Georgia)! CRH Anesthesia and our Partners now serve 50 ASCs in 11 states, providing anesthetic care for approximately 324,000 cases annually.
We’re continuing to grow and look to further expand our footprint, so if you have an existing anesthesia program and would like to increase its productivity as well as realize some of the equity you’ve built, we’d love to show you how we can help!
If you currently outsource your anesthesia, or are thinking about building a deep sedation program, we can help with that as well. For more information, please contact Carter Blanton, who heads up the Business Development efforts of CRH Anesthesia, or ME, and we can go from there!
We would love the opportunity to work with you and to help you to provide the best possible care for your patients! If you currently are a “bander”, we always enjoy coming back to your practice for a “refresher” or “advanced” session. If you, a partner, a friend, or an Advanced Practitioner in your practice are interested in bringing these procedures “in house”, let me know and we’ll work to set up a no-cost training session for you.
Please let ME know if you have any questions or need any additional information.
Thanks to everyone for your interest, and we look forward to touching base again soon.
1Yang et al., Burden and Cost of Outpatient Hemorrhoids in the United States Employer-Insured Population, 2014. Am J Gastroenterol. 2019;114(5):798-803
2Cosman, Bard C. Piles of Money: “Hemorrhoids” Are a Billion-Dollar Industry. Am J Gastroenterol. 2019; 114(5):716-717
3Kim et al. Yield of repeat colonoscopy in asymptomatic individuals with a positive fecal immunochemical test and recent colonoscopy. Gastrointest Endosc. 2019;89(5):1037-1043