title: [Consensus statement haemorrhoidal disease].
abstract: 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.
authors.affiliation: Univ.-Klinik für Visceral-, Transplantations- und Thoraxchirurgie, Medizinische Universität Innsbruck, Innsbruck, Austria. felix.aigner@i-med.ac.at
authors.forename: Felix
authors.initials: F
authors.lastname: Aigner
authors.forename: Friedrich
authors.initials: F
authors.lastname: Conrad
authors.forename: Ingrid
authors.initials: I
authors.lastname: Haunold
authors.forename: Johann
authors.initials: J
authors.lastname: Pfeifer
authors.forename: Andreas
authors.initials: A
authors.lastname: Salat
authors.forename: Max
authors.initials: M
authors.lastname: Wunderlich
authors.forename: Rene
authors.initials: R
authors.lastname: Fortelny
authors.forename: Helga
authors.initials: H
authors.lastname: Fritsch
authors.forename: Markus
authors.initials: M
authors.lastname: Glöckler
authors.forename: Hubert
authors.initials: H
authors.lastname: Hauser
authors.forename: Andreas
authors.initials: A
authors.lastname: Heuberger
authors.forename: Judith
authors.initials: J
authors.lastname: Karner-Hanusch
authors.forename: Christoph
authors.initials: C
authors.lastname: Kopf
authors.forename: Peter
authors.initials: P
authors.lastname: Lechner
authors.forename: Stefan
authors.initials: S
authors.lastname: Riss
authors.forename: Sebastian
authors.initials: S
authors.lastname: Roka
authors.forename: Matthias
authors.initials: M
authors.lastname: Scheyer
mesh_terms: D001317:Austria; D019317:Evidence-Based Medicine; D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D012008:Recurrence