Rubber band ligation (RBL) using rigid anoscope is a commonly recommended therapy for grade I-III symptomatic internal hemorrhoids. Severe complications of RBL include pain, hemorrhage and sepsis. Flexible endoscopic RBL (ERBL) is now more commonly used in RBL therapy but few severe complications have been reported. Here we report on a case of massive bleeding after ERBL.

中文翻译：

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内镜下橡皮筋结扎内痔后消化道大出血一例报告。

使用刚性肛门镜的橡皮筋结扎 (RBL) 是 I-III 级症状性内痔的常用推荐疗法。RBL 的严重并发症包括疼痛、出血和败血症。柔性内窥镜 RBL (ERBL) 现在更常用于 RBL 治疗，但很少有严重并发症的报道。在这里，我们报告一例 ERBL 后大量出血的病例。