Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2019 Mar 27;11(3):117-121.
doi: 10.4240/wjgs.v11.i3.117.

Classification and Guidelines of Hemorrhoidal Disease: Present and Future

Affiliations
Free PMC article
Editorial

Classification and Guidelines of Hemorrhoidal Disease: Present and Future

Michele Rubbini et al. World J Gastrointest Surg. .
Free PMC article

Abstract

Classification and guidelines of hemorrhoidal disease are based on the subdivision in Grades of prolapse followed by any aspect related to both the treatment and its technique. When taking the proposals for classification and guidelines issued by prolific scientific societies into consideration, it is evident that strong contradictions and interpretative limits emerge in finding the best treatment to be adopted. After a critical examination of these limitations, a methodological proposal is shared to achieve a new classification, which plays a part in forming a new guideline for hemorrhoidal disease, identifying its evolution, dynamism of the prolapse, symptomatology, enteropathogenesis and gender characteristics.

Keywords: Calssification; Gender; Guidelines; Hemorrhoids.

Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflicts of interest.

Similar articles

See all similar articles

References

    1. Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg. 2016;29:22–29. doi: 10.1055/s-0035-1568144. - DOI - PMC - PubMed
    1. Jacobs DO. Hemorrhoids: what are the options in 2018? Curr Opin Gastroenterol. 2018;34:46–49. doi: 10.1097/MOG.0000000000000408. - DOI - PubMed
    1. Chen HL, Woo XB, Cui J, Chen CQ, Peng JS. Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surg Laparosc Endosc Percutan Tech. 2014;24:285–289. doi: 10.1097/SLE.0000000000000009. - DOI - PubMed
    1. Watson AJ, Cook J, Hudson J, Kilonzo M, Wood J, Bruhn H, Brown S, Buckley B, Curran F, Jayne D, Loudon M, Rajagopal R, McDonald A, Norrie J. A pragmatic multicentre randomised controlled trial comparing stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease: the eTHoS study. Health Technol Assess. 2017;21:1–224. doi: 10.3310/hta21700. - DOI - PMC - PubMed
    1. Simillis C, Thoukididou SN, Slesser AA, Rasheed S, Tan E, Tekkis PP. Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg. 2015;102:1603–1618. doi: 10.1002/bjs.9913. - DOI - PubMed

Publication types

Feedback