Haemorrhoids are engorged veins that may extend from the junction of the rectum and interior anus through the anal canal to the external anus. Hemorrhoids are common. While they frequently cause symptoms of minor bleeding, pressure discomfort, itching and protrusion of tissue during or following a bowel movement, they may cause no symptoms at all. Minor haemorrhoidal symptoms may improve with a concerted effort to take in additional dietary fibre. Haemorrhoids are not removed during open access procedures with GIE.