Sun, Mar 03, 2024

top blank header

Dr. Manish Kulshreshtha

Dr. Manish Kulshreshtha

MBBS, MS (Surgery), FIAGES
Senior consultant and Unit head
General and Laparoscopic Surgery
Fortis Hospital, Shalimar Bagh
Delhi

Hemorrhoids, defined as the symptomatic enlargement and distal displacement of the normal anal cushions, constitute one of the most common anorectal disorders.1Chen JS, You JF. Current status of surgical treatment for hemorrhoids–systematic review and meta-analysis. Chang Gung Med J. 2010;33(5):488-500.    2Yeo D, Tan K-Y. Hemorrhoidectomy - making sense of the surgical options. World J Gastroenterol. 2014;20(45):16976-16983.   3 Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol. 2015;21(31):9245-9252.   Hemorrhoids are considered the fourth leading outpatient gastrointestinal diagnosis, with evidence of increasing prevalence over time.3 Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol.2015;21(31):9245-9252.    4 Cerato MM, Cerato NL, Passos P, et al. Surgical treatment of hemorrhoids: A critical appraisal of the current options. Arq Bras Cir Dig. 2014;27(1):66-70.    5 Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg.2016;29(1):22-29.   Available data suggest that the prevalence of hemorrhoidal disease could vary depending on the population studied. While the prevalence is estimated to be 4.4% in the general population, it reaches up to 36.4% in general practice. 6 Yousefi M, Mahdavi MR, Hosseini SM, et al. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Pharmacogn Mag.2013;9(36):350-6.    Besides, it has been estimated that about 75% of the population, particularly pregnant women and elderly adults, will have hemorrhoids at some point during their lifetime.3 Lohsiriwat V.Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol.2015;21(31):9245-9252.    7 Guindic LC. Treatment of uncomplicated hemorrhoids with a Hemor-Rite®cryotherapydevice: a randomized, prospective, comparative study. J Pain Res. 2014;7:57-63.  Hemorrhoids can occur at any age and can affect both men and women. 6 Yousefi M, Mahdavi MR, Hosseini SM, et al. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Pharmacogn Mag. 2013;9(36):350-6.    The development of hemorrhoids before the age of 20 years is unusual; however, hemorrhoidal symptom frequency increases with age.6 Yousefi M, Mahdavi MR, Hosseini SM, et al. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Pharmacogn Mag. 2013;9(36):350-6.   7 Guindic LC. Treatment of uncomplicated hemorrhoids with a Hemor-Rite® cryotherapy device: a randomized, prospective, comparative study. J Pain Res. 2014;7:57-63.   Evidence suggests that at least 50% of individuals over the age of 50 years have, at sometime, experienced symptoms related to hemorrhoids.7 Guindic LC. Treatment of uncomplicated hemorrhoids with a Hemor-Rite® cryotherapy device: a randomized, prospective, comparative study. J Pain Res. 2014;7:57-63.  In both men and women, a peak in prevalence is reported from age 45-65 years, with a subsequent decrease after the age of 65 years. 6 Yousefi M, Mahdavi MR, Hosseini SM, et al. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Pharmacogn Mag. 2013;9(36):350-6.    Hemorrhoids, affecting millions of people globally, represent a major medical and socioeconomic challenge. 3 Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol.2015;21(31):9245-9252.    6 Yousefi M, Mahdavi MR, Hosseini SM, et al. Clinical Evaluation of Commiphora Mukul, a Botanical resin, in the Management of Hemorrhoids: A randomized controlled trial. Pharmacogn Mag. 2013;9(36):350-6.