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Published in: Indian Journal of Surgery 1/2017

01-02-2017 | Review Article

Executive Summary - The Association of Colon & Rectal Surgeons of India (ACRSI) Practice Guidelines for the Management of Haemorrhoids—2016

Authors: Niranjan Agarwal, Kumkum Singh, Parvez Sheikh, Kushal Mittal, Varughese Mathai, Ashok Kumar

Published in: Indian Journal of Surgery | Issue 1/2017

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Abstract

This paper outlines the recommendations from the Association of Colon & Rectal Surgeons of India (ACRSI) practice guidelines for the management of haemorrhoids—2016. It includes diagnosis and management of haemorrhoids including dietary, non-surgical, and surgical techniques. These guidelines are intended for the use of general practitioners, general surgeons, colorectal surgeons, and gastrointestinal surgeons in India.
Literature
1.
go back to reference Lohsiriwat V (2012) Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol 18(17):2009–2017 Lohsiriwat V (2012) Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol 18(17):2009–2017
2.
go back to reference Mounsey AL, Halladay J, Sadiq TS (2011) Hemorrhoids. Am Fam Physician 84(2):204–210PubMed Mounsey AL, Halladay J, Sadiq TS (2011) Hemorrhoids. Am Fam Physician 84(2):204–210PubMed
3.
go back to reference Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P et al (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650):924–926CrossRefPubMedPubMedCentral Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P et al (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650):924–926CrossRefPubMedPubMedCentral
4.
go back to reference Cappell MS (2008) Reducing the incidence and mortality of colon cancer: mass screening and colonoscopic polypectomy. Gastroenterol Clin N Am 37(1):129–160CrossRef Cappell MS (2008) Reducing the incidence and mortality of colon cancer: mass screening and colonoscopic polypectomy. Gastroenterol Clin N Am 37(1):129–160CrossRef
5.
go back to reference Levin B, Lieberman DA, McFarland B, Andrews KS, Brooks D, Bond J et al (2008) Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology 134(5):1570–1595CrossRefPubMed Levin B, Lieberman DA, McFarland B, Andrews KS, Brooks D, Bond J et al (2008) Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology 134(5):1570–1595CrossRefPubMed
6.
go back to reference Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 124(2):544–560CrossRefPubMed Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 124(2):544–560CrossRefPubMed
7.
go back to reference Rivadeneira DE, Steele SR, Ternent C, Chalasani S, Buie WD, Rafferty JL (2011) Practice parameters for the management of hemorrhoids (revised 2010). Dis Colon rectum 54(9):1059–1064 Rivadeneira DE, Steele SR, Ternent C, Chalasani S, Buie WD, Rafferty JL (2011) Practice parameters for the management of hemorrhoids (revised 2010). Dis Colon rectum 54(9):1059–1064
8.
go back to reference Alonso-Coello P, Mills E, Heels-Ansdell D, Lopez-Yarto M, Zhou Q, Johanson JF et al (2006) Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol 101(1):181–188CrossRefPubMed Alonso-Coello P, Mills E, Heels-Ansdell D, Lopez-Yarto M, Zhou Q, Johanson JF et al (2006) Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol 101(1):181–188CrossRefPubMed
9.
go back to reference Alonso-Coello P, Guyatt G, Heels-Ansdell D, Johanson JF, Lopez-Yarto M, Mills E et al (2005) Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev 4:Cd004649 Alonso-Coello P, Guyatt G, Heels-Ansdell D, Johanson JF, Lopez-Yarto M, Mills E et al (2005) Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev 4:Cd004649
10.
go back to reference Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, Mills E, Heels-Ansdell D, Johanson JF et al (2006) Meta-analysis of flavonoids for the treatment of haemorrhoids. Br J Surg 93(8):909–920CrossRefPubMed Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, Mills E, Heels-Ansdell D, Johanson JF et al (2006) Meta-analysis of flavonoids for the treatment of haemorrhoids. Br J Surg 93(8):909–920CrossRefPubMed
11.
go back to reference Perera N, Liolitsa D, Iype S, Croxford A, Yassin M, Lang P et al (2012) Phlebotonics for haemorrhoids. Cochrane Database Syst Rev 8:Cd004322 Perera N, Liolitsa D, Iype S, Croxford A, Yassin M, Lang P et al (2012) Phlebotonics for haemorrhoids. Cochrane Database Syst Rev 8:Cd004322
12.
go back to reference Mentes BB, Gorgul A, Tatlicioglu E, Ayoglu F, Unal S (2001) Efficacy of calcium dobesilate in treating acute attacks of hemorrhoidal disease. Dis Colon rectum 44(10):1489–1495 Mentes BB, Gorgul A, Tatlicioglu E, Ayoglu F, Unal S (2001) Efficacy of calcium dobesilate in treating acute attacks of hemorrhoidal disease. Dis Colon rectum 44(10):1489–1495
13.
go back to reference Gupta PJ (2011) The efficacy of Euphorbia prostrata in early grades of symptomatic hemorrhoids—a pilot study. Eur Rev Med Pharmacol Sci 15(2):199–203PubMed Gupta PJ (2011) The efficacy of Euphorbia prostrata in early grades of symptomatic hemorrhoids—a pilot study. Eur Rev Med Pharmacol Sci 15(2):199–203PubMed
14.
go back to reference De Cecco L (1992) Effects of administration of 50 mg heparan sulfate tablets to patients with varicose dilatation of the hemorrhoid plexus (hemorrhoids). Minerva Ginecol 44(11):599–604PubMed De Cecco L (1992) Effects of administration of 50 mg heparan sulfate tablets to patients with varicose dilatation of the hemorrhoid plexus (hemorrhoids). Minerva Ginecol 44(11):599–604PubMed
15.
go back to reference Sumboonnanonda K, Lertsithichai P (2004) Clinical study of the Ginko biloba–troxerutin–heptaminol Hce in the treatment of acute hemorrhoidal attacks. J Med Assoc Thail 87(2):137–142 Sumboonnanonda K, Lertsithichai P (2004) Clinical study of the Ginko biloba–troxerutin–heptaminol Hce in the treatment of acute hemorrhoidal attacks. J Med Assoc Thail 87(2):137–142
16.
go back to reference Curtis BR (2014) Drug-induced immune neutropenia/agranulocytosis. Immunohematology 30(2):95–101PubMed Curtis BR (2014) Drug-induced immune neutropenia/agranulocytosis. Immunohematology 30(2):95–101PubMed
17.
go back to reference Allain H, Ramelet AA, Polard E, Bentue-Ferrer D (2004) Safety of calcium dobesilate in chronic venous disease, diabetic retinopathy and haemorrhoids. Drug Saf 27(9):649–660CrossRefPubMed Allain H, Ramelet AA, Polard E, Bentue-Ferrer D (2004) Safety of calcium dobesilate in chronic venous disease, diabetic retinopathy and haemorrhoids. Drug Saf 27(9):649–660CrossRefPubMed
18.
go back to reference MacRae HM, McLeod RS (1995) Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon rectum 38(7):687–694 MacRae HM, McLeod RS (1995) Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon rectum 38(7):687–694
19.
go back to reference Shanmugam V, Hakeem A, Campbell, KL, Rabindranath, KS, Steele, RJ, Thaha, MA et al. (2005) Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev (3):CD005034 Shanmugam V, Hakeem A, Campbell, KL, Rabindranath, KS, Steele, RJ, Thaha, MA et al. (2005) Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev (3):CD005034
20.
go back to reference Bhatti MI, Sajid MS, Baig MK (2016) Milligan-Morgan (open) versus Ferguson haemorrhoidectomy (closed): a systematic review and meta-analysis of published randomized, controlled trials. World J Surg 40(6):1509–1519CrossRefPubMed Bhatti MI, Sajid MS, Baig MK (2016) Milligan-Morgan (open) versus Ferguson haemorrhoidectomy (closed): a systematic review and meta-analysis of published randomized, controlled trials. World J Surg 40(6):1509–1519CrossRefPubMed
21.
go back to reference Xu L, Chen H, Lin G, Ge Q (2015) Ligasure versus Ferguson hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surg Laparosc Endosc Percutan Tech 25(2):106–110CrossRefPubMed Xu L, Chen H, Lin G, Ge Q (2015) Ligasure versus Ferguson hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surg Laparosc Endosc Percutan Tech 25(2):106–110CrossRefPubMed
22.
go back to reference Nienhuijs S, de Hingh I (2009) Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic hemorrhoids. Cochrane Database Syst Rev 1:Cd006761 Nienhuijs S, de Hingh I (2009) Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic hemorrhoids. Cochrane Database Syst Rev 1:Cd006761
23.
go back to reference Kim JS, Vashist YK, Thieltges S, Zehler O, Gawad KA, Yekebas EF et al (2013) Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy in circumferential third-degree hemorrhoids: long-term results of a randomized controlled trial. J Gastrointest Surg 17(7):1292–1298CrossRefPubMed Kim JS, Vashist YK, Thieltges S, Zehler O, Gawad KA, Yekebas EF et al (2013) Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy in circumferential third-degree hemorrhoids: long-term results of a randomized controlled trial. J Gastrointest Surg 17(7):1292–1298CrossRefPubMed
24.
go back to reference Giordano P, Overton J, Madeddu F, Zaman S, Gravante G (2009) Transanal hemorrhoidal dearterialization: a systematic review. Dis Colon rectum 52(9):1665–1671 Giordano P, Overton J, Madeddu F, Zaman S, Gravante G (2009) Transanal hemorrhoidal dearterialization: a systematic review. Dis Colon rectum 52(9):1665–1671
25.
go back to reference Denoya PI, Fakhoury M, Chang K, Fakhoury J, Bergamaschi R (2013) Dearterialization with mucopexy versus haemorrhoidectomy for grade III or IV haemorrhoids: short-term results of a double-blind randomized controlled trial. Color Dis 15(10):1281–1288CrossRef Denoya PI, Fakhoury M, Chang K, Fakhoury J, Bergamaschi R (2013) Dearterialization with mucopexy versus haemorrhoidectomy for grade III or IV haemorrhoids: short-term results of a double-blind randomized controlled trial. Color Dis 15(10):1281–1288CrossRef
26.
go back to reference Atallah S, Maharaja GK, Martin-Perez B, Burke JP, Albert MR, Larach SW (2016) Transanal hemorrhoidal dearterialization (THD): a safe procedure for the anticoagulated patient? Tech Coloproctol 20(7):461–466CrossRefPubMedPubMedCentral Atallah S, Maharaja GK, Martin-Perez B, Burke JP, Albert MR, Larach SW (2016) Transanal hemorrhoidal dearterialization (THD): a safe procedure for the anticoagulated patient? Tech Coloproctol 20(7):461–466CrossRefPubMedPubMedCentral
27.
go back to reference Cavazzoni E, Bugiantella W, Graziosi L, Silvia Franceschini M, Cantarella F, Rosati E et al (2013) Emergency transanal haemorrhoidal Doppler guided dearterialization for acute and persistent haemorrhoidal bleeding. Color Dis 15(2):e89–e92CrossRef Cavazzoni E, Bugiantella W, Graziosi L, Silvia Franceschini M, Cantarella F, Rosati E et al (2013) Emergency transanal haemorrhoidal Doppler guided dearterialization for acute and persistent haemorrhoidal bleeding. Color Dis 15(2):e89–e92CrossRef
28.
go back to reference Pigot F, Juguet F, Bouchard D, Castinel A (2012) Do we have to stop anticoagulant and platelet-inhibitor treatments during proctological surgery? Color Dis 14(12):1516–1520CrossRef Pigot F, Juguet F, Bouchard D, Castinel A (2012) Do we have to stop anticoagulant and platelet-inhibitor treatments during proctological surgery? Color Dis 14(12):1516–1520CrossRef
29.
go back to reference Pigot F, Juguet F, Bouchard D, Castinel A, Vove JP (2011) Prospective survey of secondary bleeding following anorectal surgery in a consecutive series of 1, 269 patients. Clin Res Hepatol Gastroenterol 35(1):41–47CrossRefPubMed Pigot F, Juguet F, Bouchard D, Castinel A, Vove JP (2011) Prospective survey of secondary bleeding following anorectal surgery in a consecutive series of 1, 269 patients. Clin Res Hepatol Gastroenterol 35(1):41–47CrossRefPubMed
30.
go back to reference Moore BA, Fleshner PR (2001) Rubber band ligation for hemorrhoidal disease can be safely performed in select HIV-positive patients. Dis Colon rectum 44(8):1079–1082 Moore BA, Fleshner PR (2001) Rubber band ligation for hemorrhoidal disease can be safely performed in select HIV-positive patients. Dis Colon rectum 44(8):1079–1082
31.
go back to reference Scaglia M, Delaini GG, Destefano I, Hulten L (2001) Injection treatment of hemorrhoids in patients with acquired immunodeficiency syndrome. Dis Colon rectum 44(3):401–404 Scaglia M, Delaini GG, Destefano I, Hulten L (2001) Injection treatment of hemorrhoids in patients with acquired immunodeficiency syndrome. Dis Colon rectum 44(3):401–404
32.
go back to reference Morandi E, Merlini D, Salvaggio A, Foschi D, Trabucchi E (1999) Prospective study of healing time after hemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome, and anal wound infection. Dis Colon rectum 42(9):1140–1144 Morandi E, Merlini D, Salvaggio A, Foschi D, Trabucchi E (1999) Prospective study of healing time after hemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome, and anal wound infection. Dis Colon rectum 42(9):1140–1144
33.
go back to reference Buckshee K, Takkar D, Aggarwal N (1997) Micronized flavonoid therapy in internal hemorrhoids of pregnancy. Int J Gynaecol Obstet 57(2):145–151CrossRefPubMed Buckshee K, Takkar D, Aggarwal N (1997) Micronized flavonoid therapy in internal hemorrhoids of pregnancy. Int J Gynaecol Obstet 57(2):145–151CrossRefPubMed
Metadata
Title
Executive Summary - The Association of Colon & Rectal Surgeons of India (ACRSI) Practice Guidelines for the Management of Haemorrhoids—2016
Authors
Niranjan Agarwal
Kumkum Singh
Parvez Sheikh
Kushal Mittal
Varughese Mathai
Ashok Kumar
Publication date
01-02-2017
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 1/2017
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-016-1578-7

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