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Hämorrhoidaler Symptomenkomplex

Alte und neue Aspekte

Hemorrhoidal disease

Old and new aspects

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Der Gastroenterologe Aims and scope

Zusammenfassung

Hämorrhoidalleiden gehören mit zu den häufigsten Beschwerden mit denen sich Gastroenterologen, Allgemeinmediziner und Chirurgen konfrontiert sehen. Obschon das Krankheitsbild über die Jahre in seiner Pathologie gut erfasst ist und sich eine Plethora medikamentöser, lokal-interventioneller und letztlich chirurgischer Behandlungsmöglichkeiten ergeben hat, bleibt die Behandlung im Einzelfall oft schwierig. Dieser Leitthemenbeitrag soll einen Überblick über den heutigen Stand der Behandlung hämorrhoidaler Beschwerden vermitteln und Entscheidungshilfe für den Einzelfall bieten.

Abstract

Hemorrhoids are among the most common complaints with which gastroenterologists, general practitioners and surgeons are faced. Despite the pathology of the disease being well understood and the availability of a range of drugs, locally interventional, and surgical treatment options, the treatment of hemorrhoids can be difficult at times. The purpose of this article is to provide an overview of the current state of treatment for hemorrhoidal complaints and provide decision-making support in individual cases.

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Literatur

  1. Riss S, Weiser FA, Schwameis K et al (2012) The prevalence of hemorrhoids in adults. Int J Colorectal Dis 2:215–220

    Article  Google Scholar 

  2. Gibbons CP, Trowbridge EA, Bannister JJ, Read NW (1986) Role of anal cushions in maintaining continence. Lancet 8486:886–888

    Article  Google Scholar 

  3. Loder PB, Kamm MA, Nicholls RJ, Phillips RK (1994) Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg 7:946–954

    Article  Google Scholar 

  4. Thomson WH (1975) The nature of haemorrhoids. Br J Surg 7:542–552

    Article  Google Scholar 

  5. Ahnen DJ, Wade SW, Jones WF et al (2014) The increasing incidence of young-onset colorectal cancer: a call to action. Mayo Clin Proc 2:216–224

    Article  Google Scholar 

  6. Davis KG, Pelta AE, Armstrong DN (2007) Combined colonoscopy and three-quadrant hemorrhoidal ligation: 500 consecutive cases. Dis Colon Rectum 9:1445–1449

    Article  Google Scholar 

  7. MacRae HM, McLeod RS (1997) Comparison of hemorrhoidal treatments: a meta-analysis. Can J Surg 1:14–17

    Google Scholar 

  8. Marques CF, Nahas SC, Nahas CS et al (2006) Early results of the treatment of internal hemorrhoid disease by infrared coagulation and elastic banding: a prospective randomized cross-over trial. Tech Coloproctol 4:312–317

    Article  Google Scholar 

  9. Morinaga K, Hasuda K, Ikeda T (1995) A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. Am J Gastroenterol 4:610–613

    Google Scholar 

  10. Schuurman JP, Borel R, I, Go PM (2012) Hemorrhoidal artery ligation procedure with or without Doppler transducer in grade II and III hemorrhoidal disease: a blinded randomized clinical trial. Ann Surg 5:840–845

    Article  Google Scholar 

  11. Elmer SE, Nygren JO, Lenander CE (2013) A randomized trial of transanal hemorrhoidal dearterialization with anopexy compared with open hemorrhoidectomy in the treatment of hemorrhoids. Dis Colon Rectum 4:484–490

    Article  Google Scholar 

  12. Senagore AJ, Singer M, Abcarian H et al (2004) A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and one-year results. Dis Colon Rectum 11:1824–1836

    Article  Google Scholar 

  13. Giordano P, Gravante G, Sorge R et al (2009) Long-term outcomes of stapled hemorrhoidopexy vs conventional hemorrhoidectomy: a meta-analysis of randomized controlled trials. Arch Surg 3:266–272

    Article  Google Scholar 

  14. Chen HL, Woo XB, Cui J et al (2014) Ligasure versus stapled hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials. Surg Laparosc Endosc Percutan Tech 4:285–289

    Article  Google Scholar 

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Turina, K. Slankamenac und C. Gubler geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich, Rämistr. 100, 8091, Zürich, Schweiz

    M. Turina PhD & K. Slankamenac PhD

  2. Universitätsspital Zürich, Zürich, Schweiz

    C. Gubler

Authors
  1. M. Turina PhD
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  2. K. Slankamenac PhD
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  3. C. Gubler
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Correspondence to M. Turina PhD.

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Turina, M., Slankamenac, K. & Gubler, C. Hämorrhoidaler Symptomenkomplex . Gastroenterologe 10, 197–202 (2015). https://doi.org/10.1007/s11377-015-0993-9

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  • DOI: https://doi.org/10.1007/s11377-015-0993-9

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