Hemorrhoids: what are the options in 2018?

Current Opinion in Gastroenterology
Danny O Jacobs

Abstract

Efforts continue to improve the treatment of patients with symptomatic hemorrhoidal disease by interventions designed to improve efficiency and effectiveness, including by reducing intraoperative and postoperative pain, decreasing operating times, minimizing blood loss and controlling symptoms and recurrence rates. Simultaneously, there are also renewed efforts to minimize the number of patients who will require procedural intervention by focusing on conservative measures that encourage better bowel regulation and habits. The purpose of this brief report is to review the current status of the diagnosis and treatment of patients with hemorrhoidal disease. Overall, new procedures or procedural refinements to existing techniques continue to be introduced with promising short-term outcomes - at least in some instances. In most instances, long-term follow-up or equivalency data are still being accumulated such that a definitive, unequivocal answer to what is truly the best alternative to traditional hemorrhoidectomy remains controversial. One of the challenges is heterogeneity as regards diagnosis, intervention and, especially, outcomes measures such that comparing therapies is too difficult. A recent initiative to standardize metri...Continue Reading

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Citations

Feb 24, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed Rashid
May 7, 2019·World Journal of Gastrointestinal Surgery·Michele Rubbini, Simona Ascanelli
Mar 1, 2021·Acta Gastro-enterologica Belgica·H De SchepperD De Looze
Apr 9, 2020·GE Portuguese Journal of Gastroenterology·Paulo SalgueiroFernando Castro-Poças

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