Última revisão: 26 GUA 2021
Última atualização: 11 Mar 2021

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • sangramento retal
  • dor/desconforto perianal

Outros fatores diagnósticos

  • prurido anal
  • lesão perianal palpável dolorosa
  • massa anal

Fatores de risco

  • idade entre 45-65 anos
  • constipação
  • gestação ou lesão pélvica com efeito de massa
  • insuficiência hepática
  • ascite

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • exame anoscópico
  • colonoscopia/sigmoidoscopia flexível
  • Hemograma completo
  • teste de sangue oculto nas fezes

Algoritmo de tratamento

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

Barts and The London School 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.

Jayan D Jayasinghe, MD, MRCS

Senior Fellow in Colorectal Surgery

Colorectal Surgery & Pelvic Floor Services

Royal London Hospital

Barts Health NHS Trust

London

UK

Declarações

JDJ 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.

Agradecimentos

Dr Mohamed A. Thaha 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

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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