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Konsensusbericht Hämorrhoidalleiden

Consensus statement haemorrhoidal disease

  • konsensusbericht
  • Published:
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Summary

Haemorrhoidal disease belongs to the most common benign disorders in the lower gastrointestinal tract. Treatment options comprise conservative as well as surgical therapy still being applied arbitrarily in accordance with the surgeon's expertise. The aim of this consensus statement was therefore to assess a stage-dependent approach for treatment of haemorrhoidal disease to derive evidence-based recommendations for clinical routine. The most common methods are discussed with respect of haemorrhoidal disease in extraordinary conditions like pregnancy or inflammatory bowel disease and recurrent haemorrhoids. Tailored haemorrhoidectomy is preferable for individualized treatment with regard to the shortcomings of the traditional Goligher classification in solitary or circular haemorrhoidal prolapses.

Zusammenfassung

Das Hämorrhoidalleiden zählt zu den häufigsten gutartigen Erkrankungen des unteren Verdauungstraktes und tritt oft als Begleiterscheinung anderer auch bösartiger Erkrankungen auf. Die Therapie reicht von konservativen bis hin zu chirurgischen Eingriffen, die nach wie vor willkürlich und abhängig von der Präferenz und der Expertise des jeweiligen Chirurgen angewandt werden. Das Ziel dieses Konsensusberichtes war es daher, anhand der Literatur eine stadiengerechte Therapie des Hämorrhoidalleidens zu definieren und evidenz-basierte Empfehlungen der Fachgesellschaft für die klinische Routine abzuleiten. Die gängigsten Methoden werden unter Berücksichtigung des Hämorrhoidalleidens in speziellen Situationen wie der Schwangerschaft oder chronisch entzündlicher Darmerkrankungen sowie dem rezidivierenden Hämorrhoidalleiden diskutiert. Die maßgeschneiderte Hämorrhoidenbehandlung ist für den individuellen Fall wünschenswert gerade in Hinblick auf die Unzulänglichkeiten der traditionellen Goligher Klassifikation bei der Unterscheidung zwischen solitärem oder zirkulärem Hämorrhoidalprolaps.

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Authors and Affiliations

  1. Univ.-Klinik für Visceral-, Transplantations- und Thoraxchirurgie, Medizinische Universität Innsbruck, Innsbruck, Austria

    Felix Aigner & Friedrich Conrad

  2. Krankenhaus der Barmherzigen Schwestern Wien, Wien, Austria

    Ingrid Haunold & Max Wunderlich

  3. Univ.-Klinik für Chirurgie, Klinische Abteilung für Allgemeinchirurgie, Medizinische Universität Graz, Graz, Austria

    Johann Pfeifer & Hubert Hauser

  4. Univ.-Klinik für Chirurgie, Klinische Abteilung für Allgemeinchirurgie, Medizinische Universität Wien, Wien, Austria

    Andreas Salat, Judith Karner-Hanusch, Stefan Riss & Sebastian Roka

  5. Abteilung für Allgemein-, Viszeral- und Tumorchirurgie, Wilhelminenspital Wien, Wien, Austria

    Rene Fortelny

  6. Department für Anatomie, Histologie und Embryologie, Sektion für Klinisch-Funktionelle Anatomie, Medizinische Universität Innsbruck, Innsbruck, Austria

    Helga Fritsch

  7. Krankenhaus St. Elisabeth, Wien, Austria

    Markus Glöckler

  8. Abteilung für Allgemein- und Unfallchirurgie, a. ö. Krankenhaus Oberndorf bei Salzburg, Salzburg, Austria

    Andreas Heuberger

  9. Chirurgische Abteilung, Krankenhaus Schärding, Schärding, Austria

    Christoph Kopf

  10. Chirurgische Abteilung, Landesklinikum Donauregion Tulln, Tulln, Austria

    Peter Lechner

  11. Abteilung für Allgemeinchirurgie, Landeskrankenhaus Bludenz, Bludenz, Austria

    Matthias Scheyer

Authors
  1. Felix Aigner
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  2. Friedrich Conrad
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  3. Ingrid Haunold
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  4. Johann Pfeifer
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  5. Andreas Salat
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  6. Max Wunderlich
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  7. Rene Fortelny
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  8. Helga Fritsch
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  9. Markus Glöckler
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  10. Hubert Hauser
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  11. Andreas Heuberger
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  12. Judith Karner-Hanusch
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  13. Christoph Kopf
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  14. Peter Lechner
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  15. Stefan Riss
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  16. Sebastian Roka
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  17. Matthias Scheyer
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Consortia

Konsensusgruppe der Arbeitsgemeinschaft für Coloproktologie (ACP) der Österreichischen Gesellschaft für Chirurgie

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Correspondence to Felix Aigner.

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Aigner, F., Conrad, F., Haunold, I. et al. Konsensusbericht Hämorrhoidalleiden. Wien Klin Wochenschr 124, 207–219 (2012). https://doi.org/10.1007/s00508-011-0107-8

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  • DOI: https://doi.org/10.1007/s00508-011-0107-8

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