Treatment of Hæmorrhoids in Patients With Inflammatory Bowel Disease

Jeffery, P. J.; Ritchie, Jean K.; Parks, A. G.

doi:10.1016/s0140-6736(77)92337-6

Cited by 107 publications

(41 citation statements)

References 2 publications

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“…Accurate diagnosis is essential to differentiate true haemorrhoids from other common manifestations of Crohn's disease such as skin tags, fissures and anorectal sepsis with or without fistula. A large retrospective review, published in 1977, of 42 patients with ulcerative colitis and 20 with Crohn's disease, treated for haemorrhoids at St Mark's Hospital over 40 years, noted that complications were encountered more than 12 times more often in association with Crohn's disease; one patient with ulcerative colitis and six with Crohn's disease eventually required a proctectomy 108 . As a result of these observations, conservative management of haemorrhoids has usually been advocated in the presence of Crohn's disease.…”

Section: Treatment Of Haemorrhoids In Crohn's Diseasementioning

confidence: 99%

Septic complications after treatment of haemorrhoids

Guy¹,

Seow‐Choen²

2003

Journal of British Surgery

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Section: Treatment Of Haemorrhoids In Crohn's Diseasementioning

confidence: 99%

Septic complications after treatment of haemorrhoids

Guy¹,

Seow‐Choen²

2003

Journal of British Surgery

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“…Complications of hemorrhoidectomy include sepsis, stenosis, fistulae, unhealed wounds, and high rates of subsequent proctectomies [13].…”

Section: Overviewmentioning

confidence: 99%

Management of perianal Crohn’s disease

Person

Wexner

2005

Curr Treat Options Gastro

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Perianal manifestations of Crohn's disease usually coexist with active inflammation of other primary sites of the disease. Although treatment of active proximal disease may sometimes alleviate perianal symptoms, it is reasonable to separately treat symptomatic perianal disease. The diversity of perianal manifestations in Crohn's disease mandates a tailored, individualized approach in every case. Medical therapy is the best treatment option for hemorrhoids and anal fissures. The medical management of patients with perianal Crohn's disease includes the use of systemic antibiotics, immunosuppressive agents, and infliximab. Infliximab is now recognized as a very efficacious agent for treating fistulizing Crohn's disease, including perianal fistulae. It may also reduce the need for surgical intervention in specific cases. Abscesses and fistulae are treated by control of sepsis, resolution of inflammation and optimal preservation of continence, and quality of life. Abscesses require surgical drainage that may need to be prolonged to achieve complete healing. Fistulae may be treated medically, especially in cases of concurrent proctitis. Refractory fistulae may require surgical treatment including an occasional need for fecal diversion or proctectomy. The role of new treatment options such as natalizumab and CDP571 is evolving and requires further investigation.

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“…Surprisingly, to our knowledge not a single prospective study has investigated this issue. In 1977, a retrospective analysis compared the outcome of operative hemorrhoid treatments in patients with ulcerative colitis and those with Crohn's disease [49]. Whereas the local complication rate in ulcerative colitis was relatively low (7%), it was very high in Crohn's disease (42%) and led significantly more often to a proctectomy.…”

Section: Inflammatory Bowel Disease and Hemorrhoidsmentioning

confidence: 99%

Management options for symptomatic hemorrhoids

Balasubramaniam

Kaiser

2003

Curr Gastroenterol Rep

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Hemorrhoids remain one of the most common colorectal complaints. They are defined as a pathologic engorgement of the submucosal vascular plexus. Although they are often asymptomatic, hemorrhoids may cause bleeding, prolapse and, less commonly, pain. This review gives an update on various treatment options for symptomatic hemorrhoids, which include conservative treatments, office interventions, and surgical procedures, depending on the individual constellation of symptoms. Objective findings and expectations are also addressed. Recent advances (eg, stapled hemorrhoidectomy and use of alternate energy sources) are emphasized, and treatment under special circumstances (HIV, pregnancy, inflammatory bowel disease, and liver disease) is outlined.

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Treatment of Hæmorrhoids in Patients With Inflammatory Bowel Disease

Cited by 107 publications

References 2 publications

Septic complications after treatment of haemorrhoids

Septic complications after treatment of haemorrhoids

Management of perianal Crohn’s disease

Management options for symptomatic hemorrhoids

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