Hemorrhoids

Overview

Journal Clin Colon Rectal Surg

Date 2012 Mar 2

PMID 22379400

Citations 22

Authors

Caroline Sanchez

Bertram T Chinn

Affiliations

Soon will be listed here.

Abstract

Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids.

Citing Articles

Nonfistulizing Perianal Crohn's Disease.

Simon E, Steinhagen E Clin Colon Rectal Surg. 2025; 38(2):141-147.

PMID: 39944305 PMC: 11813617. DOI: 10.1055/s-0044-1786198.

Public Knowledge and Awareness About Hemorrhoids and the Reasons for Late Presentation to Local Doctors in Makkah Region, Saudi Arabia: A Cross-Sectional Exploratory Study.

Salih M, Alshumrani A, Alodhayqi A, Almdawsi M, Almarhabi A, Alkhairi H Cureus. 2024; 16(9):e70349.

PMID: 39463499 PMC: 11513179. DOI: 10.7759/cureus.70349.

[Epidemiological characteristics of hemorrhoids in a healthy physical examination population in China].

Guo C, Che X, Lin Z, Cai S, Liu G, Pan L Beijing Da Xue Xue Bao Yi Xue Ban. 2024; 56(5):815-819.

PMID: 39397459 PMC: 11480542.

An international observational study assessing conservative management in hemorrhoidal disease: results of CHORALIS (aCute HemORrhoidal disease evALuation International Study).

Godeberge P, Csiki Z, Zakharash M, Opot E, Shelygin Y, Nguyen T J Comp Eff Res. 2024; 13(10):e240070.

PMID: 39132755 PMC: 11426285. DOI: 10.57264/cer-2024-0070.

Integrated genomic network analysis revealed potential of a druggable target for hemorrhoid treatment.

Adikusuma W, Firdayani F, Irham L, Darmawi D, Hamidy M, Nopitasari B Saudi Pharm J. 2023; 31(12):101831.

PMID: 37965490 PMC: 10641558. DOI: 10.1016/j.jsps.2023.101831.

References

Johanson J, Rimm A . Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy. Am J Gastroenterol. 1992; 87(11):1600-6. View

Ratto C, Donisi L, Parello A, Litta F, Doglietto G . Evaluation of transanal hemorrhoidal dearterialization as a minimally invasive therapeutic approach to hemorrhoids. Dis Colon Rectum. 2010; 53(5):803-11. DOI: 10.1007/DCR.0b013e3181cdafa7. View

Pescatori M . Stapled hemorrhoidectomy: a word of caution. Int J Colorectal Dis. 2002; 17(5):362-3. DOI: 10.1007/s00384-002-0419-2. View

Johanson J, Sonnenberg A . The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990; 98(2):380-6. DOI: 10.1016/0016-5085(90)90828-o. View

Bat L, Melzer E, Koler M, Dreznick Z, Shemesh E . Complications of rubber band ligation of symptomatic internal hemorrhoids. Dis Colon Rectum. 1993; 36(3):287-90. DOI: 10.1007/BF02053512. View

Hosking S, Smart H, Johnson A, Triger D . Anorectal varices, haemorrhoids, and portal hypertension. Lancet. 1989; 1(8634):349-52. DOI: 10.1016/s0140-6736(89)91724-8. View

Safavi A, GOTTESMAN L, DAILEY T . Anorectal surgery in the HIV+ patient: update. Dis Colon Rectum. 1991; 34(4):299-304. DOI: 10.1007/BF02050588. View

Sim A, Murie J, Mackenzie I . Three year follow-up study on the treatment of first and second degree hemorrhoids by sclerosant injection or rubber band ligation. Surg Gynecol Obstet. 1983; 157(6):534-6. View

Khan S, Pawlak S, Eggenberger J, Lee C, Szilagy E, Wu J . Surgical treatment of hemorrhoids: prospective, randomized trial comparing closed excisional hemorrhoidectomy and the Harmonic Scalpel technique of excisional hemorrhoidectomy. Dis Colon Rectum. 2001; 44(6):845-9. DOI: 10.1007/BF02234706. View

10.

Aigner F, Gruber H, Conrad F, Eder J, Wedel T, Zelger B . Revised morphology and hemodynamics of the anorectal vascular plexus: impact on the course of hemorrhoidal disease. Int J Colorectal Dis. 2008; 24(1):105-13. DOI: 10.1007/s00384-008-0572-3. View

11.

Nisar P, Acheson A, Neal K, Scholefield J . Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials. Dis Colon Rectum. 2004; 47(11):1837-45. DOI: 10.1007/s10350-004-0679-8. View

12.

Scaglia M, Delaini G, Destefano I, Hulten L . Injection treatment of hemorrhoids in patients with acquired immunodeficiency syndrome. Dis Colon Rectum. 2001; 44(3):401-4. DOI: 10.1007/BF02234740. View

13.

Saleeby Jr R, Rosen L, Stasik J, Riether R, Sheets J, Khubchandani I . Hemorrhoidectomy during pregnancy: risk or relief?. Dis Colon Rectum. 1991; 34(3):260-1. DOI: 10.1007/BF02090166. View

14.

MacRae H, McLeod R . Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon Rectum. 1995; 38(7):687-94. DOI: 10.1007/BF02048023. View

15.

Kluiber R, Wolff B . Evaluation of anemia caused by hemorrhoidal bleeding. Dis Colon Rectum. 1994; 37(10):1006-7. DOI: 10.1007/BF02049313. View

16.

Ibrahim S, Tsang C, Lee Y, Eu K, Seow-Choen F . Prospective, randomized trial comparing pain and complications between diathermy and scissors for closed hemorrhoidectomy. Dis Colon Rectum. 1998; 41(11):1418-20. DOI: 10.1007/BF02237059. View

17.

BERNSTEIN W . What are hemorrhoids and what is their relationship to the portal venous system?. Dis Colon Rectum. 1983; 26(12):829-34. DOI: 10.1007/BF02554764. View

18.

Chung Y, Wu H . Clinical experience of sutureless closed hemorrhoidectomy with LigaSure. Dis Colon Rectum. 2003; 46(1):87-92. DOI: 10.1007/s10350-004-6501-9. View

19.

Andrews B, Layer G, Jackson B, Nicholls R . Randomized trial comparing diathermy hemorrhoidectomy with the scissor dissection Milligan-Morgan operation. Dis Colon Rectum. 1993; 36(6):580-3. DOI: 10.1007/BF02049865. View

20.

Pescatori M . PPH stapled hemorrhoidectomy--a cautionary note. Dis Colon Rectum. 2003; 46(1):131. DOI: 10.1097/01.DCR.0000044725.73789.97. View