Top tips for successful endoscopic hemorrhoid banding (with video)

Hemorrhoids remain a common, and often vexing, problem. Many gastroenterologists do not believe that managing hemorrhoids is their responsibility and often defer this role to primary care providers or, in patients with significant symptoms, colorectal surgeons. Worsening the problem, many gastroenterology fellowships contain little to no education for fellows regarding the evaluation and treatment of hemorrhoids. When these fellows graduate, they are often stunned to discover how many patients have symptomatic hemorrhoids and need guidance regarding therapy.