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. 2019 Mar 27;11(3):117-121.
doi: 10.4240/wjgs.v11.i3.117.

Classification and Guidelines of Hemorrhoidal Disease: Present and Future

Free PMC article

Classification and Guidelines of Hemorrhoidal Disease: Present and Future

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


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.

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