Table 1.

Current management of internal hemorrhoids by grade

Treatments	GradeI	Grade II	Grade III	Grade IV	Acute thrombosis or strangulation
Dietary and lifestyle modification	×	×	×	×	×
Medical treatment	×	×	×-selected
Non-operative treatment
Sclerotherapy	×	×
Infrared coagulation	×	×
Radiofrequency ablation	×	×
Rubber band ligation	×	×	×-selected
Operative treatment
Plication		×	×
DGHAL		×	×
Hemorrhoidectomy		×-selected	×	×	×-emergency
Stapled hemorrhoidopexy			×	×

DGHAL: Doppler-guided hemorrhoidal artery ligation; ×: Applicable.