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J Visc Surg. 2016 Jun;153(3):213-8. doi: 10.1016/j.jviscsurg.2016.03.004. Epub 2016 May 18.

Guidelines for the treatment of hemorrhoids (short report).

Author information

1
11, boulevard du général Leclerc, 06240 Beausoleil, France. Electronic address: docteur@higuero-gastro.com.
2
Unité de proctologie médico-chirurgicale, hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France; 95, rue de Passy, 75016 Paris, France.
3
43, bis rue de Strasbourg, 33000 Bordeaux, France.
4
Institut de proctologie Léopold-Bellan, hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
5
5, rue Marceau, 44000 Nantes, France.
6
43 bis, rue de Strasbourg, 33000 Bordeaux, France.
7
Hôpital Bagatelle, 203, route de Toulouse, BP 50048, 33401 Talence cedex, France.
8
CHP Rennes Saint-Grégoire, 6, boulevard de la Boutière, 35760 Saint-Grégoire, France.
9
Service de gastroentérologie, CHU Pontchaillou, 35033 Rennes cedex 9, France.
10
Clinique St.-Jean Languedoc, 20, route de Revel, Cs 37707, 31077 Toulouse cedex 4, France.
11
Service de chirurgie digestive, centre hospitalier inter-communal de Poissy Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, BP 73082, 78303 Poissy cedex, France.

Abstract

Hemorrhoids are a common medical problem that is often considered as benign. The French Society of Colo-Proctology (Société nationale française de colo-proctologie [SNFCP]) recently revised its recommendations for the management of hemorrhoids (last issued in 2001), based on the literature and consensual expert opinion. We present a short report of these recommendations. Briefly, medical treatment, including dietary fiber, should always be proposed in first intention and instrumental treatment only if medical treatment fails, except in grade ≥III prolapse. Surgery should be the last resort, and the patient well informed of the surgical alternatives, including the possibility of elective ambulatory surgery, if appropriate. Postoperative pain should be prevented by the systematic implementation of a pudendal block and multimodal use of analgesics.

KEYWORDS:

Guidelines; Hemorrhoids; Treatment

PMID:
27209079
DOI:
10.1016/j.jviscsurg.2016.03.004
[Indexed for MEDLINE]

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