The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids

Hawkins, Alexander T.; Davis, Bradley R.; Bhama, Anuradha R.; Fang, Sandy H.; Dawes, Aaron J.; Feingold, Daniel L.; Lightner, Amy L.; Paquette, Ian M.; ,

doi:10.1097/dcr.0000000000003276

Cited by 3 publications

(1 citation statement)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The American Society of Colon and Rectal Surgeons (ASCRS) and the European Society of Coloproctology (ESCP) have established evidence-based clinical practice guidelines for the diagnosis and management of symptomatic hemorrhoidal disease, which were updated in 2024 and 2020, respectively [ 5 , 6 ]. These guidelines outline a systematic approach to the diagnosis of hemorrhoidal disease, as well as a treatment approach based on hemorrhoidal grades (I–IV) in the Goligher classification system.…”

Section: Introductionmentioning

confidence: 99%

Common design and data elements on rectal artery embolization for treatment of symptomatic internal hemorrhoidal disease: an interactive systematic review of clinical trials

Morsi,

Linares Bolsegui,

Kobeissi

et al. 2024

CVIR Endovasc

View full text Add to dashboard Cite

Background Internal hemorrhoids (IH) is a common medical condition that can result in morbidity secondary to bleeding and discomfort. Treatment for IH has traditionally consisted of dietary and conservative medical management, focal treatments including banding and sclerotherapy or hemorrhoidectomy. Recently, rectal artery embolization (RAE) has been studied as a potential treatment for bleeding predominant IH. We performed a common design and data element analysis of studies that report on RAE. Materials and methods We conducted a qualitative systematic literature review for rectal artery embolization (RAE) for symptomatic hemorrhoidal disease. The screening process involved five online databases (PubMed, Embase, Google Scholar, DOAJ, and Scopus). Additionally, ClinicalTrials.gov was examined for active, unpublished completed studies. The initial search yielded 2000 studies, with 15 studies meeting the inclusion criteria after screening and assessment. The included studies comprised one RCT, one case series, one pilot study and 12 cohort studies. Results The population analysis revealed a male predominance across all studies, with varying cohort sizes. The baseline Goligher hemorrhoid grade was utilized in 80% of studies. The majority (73.3%) employed a transfemoral approach, and coils were the primary embolic material in 60% of studies, 26.6% were combination of coils and particles, and 6.6% were particles only. Patient selection criteria highlighted RAE's applicability for high surgical risk patients and those with anemia, chronic hematochezia, or treatment-refractory cases. Exclusion criteria emphasized factors such as previous surgeries, colorectal cancer, rectal prolapse, acute hemorrhoidal complications, and contrast allergy. Study designs varied, with cohort studies being the most common (12/15; 80%). Procedural details included the use of metallic coils and detachable micro-coils, with a high technical success rate reported in most studies ranging from 72 to 100%. The follow-up ranged from 1 to 18 months. The majority of studies reported no major immediate or post-procedural complications. Conclusion While all studies focused on RAE as a treatment for IH, there was a great degree of heterogeneity among included studies, particularly regarding inclusion criteria, exclusion criteria, outcomes measures and timeframe. Future literature should attempt to standardize these design elements to help facilitate secondary analyses and increase understanding of RAE as a treatment option.

show abstract

Section: Introductionmentioning

confidence: 99%

Common design and data elements on rectal artery embolization for treatment of symptomatic internal hemorrhoidal disease: an interactive systematic review of clinical trials

Morsi,

Linares Bolsegui,

Kobeissi

et al. 2024

CVIR Endovasc

View full text Add to dashboard Cite

show abstract

Hemorroides: ni todas son iguales… ni requieren el mismo tratamiento

Cerdán-Santacruz,

Cerdán-Miguel

2024

Atención Primaria

View full text Add to dashboard Cite

Use of Non-Thermal Plasma as Postoperative Therapy in Anal Fistula: Clinical Experience and Results

López-Callejas,

Velasco-García,

Betancourt-Ángeles

et al. 2024

Biomedicines

View full text Add to dashboard Cite

Anal fistula, characterized by abnormal tracts between the perianal skin and the anal canal, presents challenges in treatment because of its diversity and complexity. This study investigates the use of non-thermal plasma as a postsurgical therapy for anal fistula, aiming to promote healing and tissue regeneration. A specialized plasma reactor was designed to apply non-thermal plasma within the anorectal cavity practically. Non-thermal plasma treatment was administered to 20 patients including 10 undergoing fistulectomies and 10 undergoing fistulotomies. The average duration of non-thermal plasma application in the operating room was shorter for fistulotomies. The pain reported the day after surgery was similar in both groups. Improvements in the number of evacuations starting from the day after surgery, as well as the assessment of stool quality using the Bristol scale, indicated satisfactory intestinal recovery. Fistulotomy patients exhibited faster wound healing times. These findings underscore the efficacy of non-thermal plasma as a postoperative therapy for anal fistula, enhancing healing and recovery outcomes without increasing complication risks.

show abstract

The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids

Cited by 3 publications

References 60 publications

Common design and data elements on rectal artery embolization for treatment of symptomatic internal hemorrhoidal disease: an interactive systematic review of clinical trials

Common design and data elements on rectal artery embolization for treatment of symptomatic internal hemorrhoidal disease: an interactive systematic review of clinical trials

Hemorroides: ni todas son iguales… ni requieren el mismo tratamiento

Use of Non-Thermal Plasma as Postoperative Therapy in Anal Fistula: Clinical Experience and Results

Contact Info

Product

Resources

About