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Hemorrhoids

Last reviewed: 13 Feb 2025
Last updated: 27 Sep 2024

小结

Definition

História e exame físico

Principais fatores diagnósticos

  • rectal bleeding
  • intermittent protrusion
  • perianal pain/discomfort
Detalhes completos

Outros fatores diagnósticos

  • anal pruritus
  • tender palpable perianal lesion
  • anal mass
Detalhes completos

Fatores de risco

  • age between 45-65 years
  • constipation
  • pregnancy or space-occupying pelvic lesion
  • hepatic insufficiency
  • ascites
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • anoscopic exam
  • colonoscopy/flexible sigmoidoscopy
  • CBC
  • stool for occult heme
Detalhes completos

Algoritmo de tratamento

AGUDA

initial presentation: nonpregnant

initial presentation: pregnant

CONTÍNUA

treatment failure of rubber band ligation, sclerotherapy, infrared coagulation, hemorrhoidal arterial ligation, or stapled hemorrhoidopexy

Colaboradores

Autores

Mohamed A. Thaha, PhD, FRCS (Gen Surg), PG Cert Hlt Econ

Senior Lecturer and Consultant in Colorectal Surgery

National Bowel Research Centre (NBRC)

Blizard Institute

Faculty of Medicine & Dentistry

Queen Mary University of London

Colorectal & Pelvic Floor Services

Royal London Hospital

Barts Health NHS Trust

London

UK

Declarações

MAT declares that he has no competing interests.

Robert J.C. Steele, MD, FRCS

Professor of Surgery

Ninewells Hospital & Medical School

University of Dundee

Dundee

UK

Declarações

RJCS declares that he has no competing interests.

Jayan Dewanta Jayasinghe, MD, FRCS (Gen Surg), FEBS (Coloproctology)

Senior Colorectal Fellow

Barts Health NHS Trust

Colorectal & Pelvic Floor Services

Royal London Hospital

London

UK

Declarações

JDJ declares that he has no competing interests.

Agradecimentos

Mr Mohamed A. Thaha, Mr Jayan D. Jayasinghe, and Professor Robert J.C. Steele would like to gratefully acknowledge Dr Kurt G. Davis, the previous contributor to this topic.

Declarações

KGD declares that he has no competing interests.

Revisores

Tisha N. Lunsford, MD, FACG, AGA

Director of Motility

Mayo Clinic Arizona

Phoenix

AZ

Declarações

TNL declares that she has no competing interests.

George Reese, MB BS MRCS

Honorary Clinical Research Fellow

Division of Surgery

Oncology

Reproductive Biology and Anaesthetics

Imperial College

St Mary's Hospital

London

UK

Declarações

GR declares that he has no competing interests.

Alexander von Roon, MRCS

Clinical Research Fellow

Department of Biosurgery and Surgical Technology

Imperial College

St Mary's Hospital

London

UK

Declarações

AVR declares that he has no competing interests.

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    • The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of hemorrhoids
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