skip to main content

Phlebotrophic Effect of Graptophyllum Pictum (L.) Griff on Experimental Wistar Hemorrhoids

1Faculty of Medicine, Diponegoro University, Indonesia

2Departement of Surgery, Diponegoro University, Indonesia

3Departement of Histology, Diponegoro University, Indonesia

Received: 13 Nov 2018; Accepted: 17 Mar 2019; Available online: 25 Jul 2019; Published: 31 Jul 2019.
Open Access Copyright (c) 2019 Journal of Biomedicine and Translational Research

Citation Format:
Abstract

Background : The 1st and 2nd degree hemorrhoids is managed non-operatively with the anti-inflammatory and plebothropic drugs. Graptophyllum pictum extract (GPE) has already been used widely in Indonesia to treat hemorrhoid with good result, however, the mechanism is not supported by the molecular research.

Objective : This study is intended to study the phlebothropic effects of GPE by measuring the degree of edema and extravassal leucocytes of experimental wistar hemorrhoid.

Methods : Experimental study with Randomized Controlled Trial Post-test only design in male wistar rats, weight around 200 gr, induced for the development of a disease-like condition of hemorrhoids by 6% croton oil on the anus for 3 days. Random allocation was performed to divide the 14 wistar rats in 2 groups. Group I as control got normal saline solution, while group II was treated with GPE 100mg/kgbw, started on day 4th for 5 consecutive days. On 9th day blood was extracted from retroorbital fossa and anus was resected up to 2 cm from anal verge and weighted. The degree of anal edema was measured by rectoanal coefficient, that is rasio between anal weight (miligrams) and body weight (grams).

Results : Until the end of study, all wistar rat were still alive. The mean (±SD) of body weight   of control group was 173.84 ­(±13.37) and the treatment group was 171.70  (±13.10), and there was no significant differences (p = 0.833). The mean (±SD) of rectoanal coefficient in the treatment group was 2.46 (±0.41) and it was significantly lower than control group  (3.13 ± 0.85) (p = 0.029). The mean (±SD) of extravassal leukocytes in the treatment group was 900.14(±48.09) and it was significantly lower than the control (1003.28 ± 99.30) (p = 0.042).

Conclusions : Graptophyllum pictum extract at doses of 100 mg/Kgbw have phlebotonic effect  in decreased edema and extravassal leukocytes.

Fulltext View|Download
Keywords: Graptophyllum pictum; hemorrhoids; Croton oil; Rectoanal coefficient; extravassal leucocytes
Funding: Diponegoro University Faculty of Medicine; LPPT UGM; Diponegoro National Hospital; PT Sidomuncul

Article Metrics:

  1. Kaidar-Person, Orit, Benjamin Person and SDW. Hemorrhoidal disease: a comprehensive review. J Am Coll Surg. 2007;204(1):102–17
  2. Lohsiriwat V. Hemorrhoids : From basic pathophysiology to clinical management. 2017;18(17):2009–17
  3. Han, W. et al. Pathologic change of elastic fibers with difference of microvessel density and expression of angiogenesis-related proteins in internal hemorrhoid tissues. Chinese J Gastrointest Surg. 2005;8(1):56–9
  4. Davis BR, Lee-Kong SA, Migaly J, Feingold DL, Steele SR. The American Society of colon and rectal surgeons clinical practice guidelines for the management of hemorrhoids. Dis Colon Rectum. 2018;61(3):284–92
  5. Sanchez C, Chinn BT. Hemorrhoids. 2011;1(212):5–13
  6. Winata H. Aktivitas Antioksidan dan Kandungan Kimiawi Ekstrak Daun Wungu (Graptophyllum pictum L.Griff.). 2011;
  7. Sari DRP. Pengaruh Pemberian Ekstrak Daun Wungu (Graptophyllum pictum Griff) dan Pegagan (Centella asiatica (L.). Urb.) pada Penderita Wasir di Desa Payaman Solokuro Lamongan. Dr Diss Univ AIRLANGGA. 2006;
  8. Ozaki Y, Sekita S, Soedigdo S, Harada M. Antiinflammatory effect of Graptophyllum pictum (L.) Griff. Chem Pharm Bull (Tokyo) [Internet]. 1989;37(10):2799–802. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2611941
  9. Sumarny, R., Rohani M. Efek antiinflamasi dan antidiare ekstrak etanol herba meniran (Phyllanthus niruri L.) dan daun ungu (Garptophyllum pictum l. Griff). Pros Semin Nas Perkemb Terkini Sains Farm dan Klin III. 2013;
  10. Gurel E, Ustunova S, Ergin B, Tan N, Caner M, Tortum O, et al. Herbal Haemorrhoidal Cream for Haemorrhoids. 2013;56(June 2011):253–62
  11. Torre F La, Nicolai AP. Clinical Use of Micronized Purified Flavonoid Fraction for Treatment of Symptoms After Hemorrhoidectomy : Results of a Randomized , Controlled , Clinical Trial. :704–10
  12. Bergan JJ, Diego S. Chronic Venous Insufficiency and the Therapeutic Effects of Daflon 500 mg. 2005;56:21–4
  13. Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, Mills E, Heels-Ansdell D, Johanson JF, et al. Meta-analysis of flavonoids for the treatment of haemorrhoids. Br J Surg. 2006;93(8):909–20
  14. Perera N, Ukaegbu O, Liolitsa D, Abeyewickrame A, Lang P, Reisel D. Phlebotonics for haemorrhoids ( Protocol ). 2011;(2)
  15. Azeemuddin M, Viswanatha GL, Rafiq M, Thippeswamy AH, Baig MR, Kavya KJ, et al. An Improved Experimental Model of Hemorrhoids in Rats : Evaluation of Antihemorrhoidal Activity of an Herbal Formulation. 2014;2014

Last update:

No citation recorded.

Last update:

No citation recorded.