Format

Send to

Choose Destination
Ann Afr Med. 2019 Jan-Mar;18(1):12-16. doi: 10.4103/aam.aam_4_18.

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment.

Author information

1
Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
2
Oak Endoscopy Centre, Digestive Disease Unit, Port Harcourt, Nigeria.

Abstract

in English, French

Background:

An engorgement and prolapse of the anal cushion lead to haemorrhoidal disease. There are different anatomical sites and presentation of this common pathology which affects the quality of life.

Aims:

To study the predilection sites, presentation and treatment of haemorrhoidal disease.

Patients and Method:

A cohort study of patients diagnosed with haemorrhoids at an Endoscopy centre in Port Harcourt, Rivers State Nigeria from February 2014- July 2017.The patients were divided into 2 groups: A - asymptomatic and B- symptomatic. Variables studied included: demographics, anatomic variations, grade of haemorrhoids, clinical presentation and treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, version 20.0. Armonk, NY.

Results:

One hundred and twenty- one cases were included in study. There were 76 males and 45 males with age range from 15 -80 years (mean 51.9±13.1yrs). Bleeding per rectum was the most common presentation. The position frequency of haemorrhoids in decreasing order were: right posterior (34.1%); right anterior (28.2%); left lateral (17.1%); left posterior (7.6%). Multiple quadrants were affected in 58(72.5%) cases of external haemorrhoids. Grade I, II and III haemorrhoids were seen in 38 (31%), 31(26%) and 21(17%) cases respectively.

Conclusion:

The most common anatomical site of external haemorrhoids is the right posterior quadrant position; frequently, multiple sites are simultaneously affected. Goligher classification Grade 1 hemorrhoids are effectively treated by injection sclerotherapy using 50% dextrose solution; a cheap and physiologic sclerotherapy agent.

KEYWORDS:

Hemorrhoids; presentation pattern; quadrant

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
Loading ...
Support Center