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Gwinnett Medical Center Physician Pioneering Treatment for Hemorrhoid Ligation


Lawrenceville, GA—More than half of all Americans over the age of 50 will develop hemorrhoids at some time in their lives. Gwinnett Medical Center’s David Armstrong, M.D., FRCS, FACS, FASCRS, is one of the regions’ leaders in hemorrhoid treatment. Dr. Armstrong, who is board certified in colon and rectal surgery, invented a new technology that maximizes patient benefits.

“It’s not something people like to talk about, but hemorrhoids can be a real inconvenience,” said Dr. Armstrong. “I saw a need to improve the treatment provided for hemorrhoids and am very pleased that I was able to meet it.”

In a procedure called rubber band ligation, the most widely used treatment for internal hemorrhoids, a rubber band is placed around the base of the hemorrhoid, which cuts off circulation. The hemorrhoid then withers within a few days.

Dr. Armstrong invented the TriView anascope, which allows visualization of three internal hemorrhoids at the same time as opposed to just one. The development of the TriView anascope and the ShortShot, a multi-band hemorrhoid ligator, allows for patients to have three internal hemorrhoids ligated at the same time, which provides quicker, easier and more accurate banding of the hemorrhoids.

With this new non-surgical technique, patients experience less discomfort, require fewer pain medications and have improved outcomes as compared to other conventional methods. The procedure does not require a hospital stay, allowing the patient to get back to his or her regular routine sooner.

“By avoiding surgery and minimizing discomfort and time off work, this technique is simple and cost-effective,” said Dr. Armstrong. “Studies have shown that rubber band ligation of hemorrhoids is more effective than other non-surgical treatments.”

For more information about hemorrhoids, prevention and treatment options, visit

About Gwinnett Medical Center
Gwinnett Medical Center is a not-for-profit healthcare network providing award-winning healthcare services to the Gwinnett community and beyond. Campuses in both Duluth and Lawrenceville provide acute care, outpatient services, orthopedic and neuroscience specialty care as well as a full continuum of wellness services. Digital imaging is the standard of care at all GMC facilities including the newest imaging center in north Gwinnett’s Hamilton Mill area. In 2009, GMC’s 4,300 associates and 800 physicians served more than 400,000 patients. Gwinnett Medical Center’s incredible vision for the future is to transform healthcare.