Abstract
cooler and 5/36 patients (14%) found the insertion uncomfortable. No complications occurred during or after the use of the anal cooler. No differences were found between patients who had improvement with the anal cooler and patients who had not. The 14/50 patients (28%) who did not use the anal cooler, had a lower post-banding pain score compared to patients who used the anal cooler (1.4 vs 6.4; P<0.001). However, 2/14 of them (14%) needed pain medication and did not try the anal cooler, because they were feared for pain during insertion. CONCLUSION: The anal cooler seems to relief anal pain in few patients after RBL and has no serious side-effects. However, for most patients postbanding pain was minor, therefore it was not necessary to use the anal cooler, but in case of post-banding pain it might be worthwhile to try the anal cooler.
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