title: Guidelines for the treatment of hemorrhoids (short report).
abstract: Hemorrhoids are a common medical problem that is often considered as benign. The French Society of Colo-Proctology (Société nationale française de colo-proctologie [SNFCP]) recently revised its recommendations for the management of hemorrhoids (last issued in 2001), based on the literature and consensual expert opinion. We present a short report of these recommendations. Briefly, medical treatment, including dietary fiber, should always be proposed in first intention and instrumental treatment only if medical treatment fails, except in grade ≥III prolapse. Surgery should be the last resort, and the patient well informed of the surgical alternatives, including the possibility of elective ambulatory surgery, if appropriate. Postoperative pain should be prevented by the systematic implementation of a pudendal block and multimodal use of analgesics.
authors.affiliation: 11, boulevard du général Leclerc, 06240 Beausoleil, France. Electronic address: docteur@higuero-gastro.com.
authors.forename: T
authors.initials: T
authors.lastname: Higuero
authors.affiliation: Unité de proctologie médico-chirurgicale, hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France; 95, rue de Passy, 75016 Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Abramowitz
authors.affiliation: 43, bis rue de Strasbourg, 33000 Bordeaux, France.
authors.forename: A
authors.initials: A
authors.lastname: Castinel
authors.affiliation: Institut de proctologie Léopold-Bellan, hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Fathallah
authors.affiliation: 5, rue Marceau, 44000 Nantes, France.
authors.forename: P
authors.initials: P
authors.lastname: Hemery
authors.affiliation: 43 bis, rue de Strasbourg, 33000 Bordeaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Laclotte Duhoux
authors.affiliation: Hôpital Bagatelle, 203, route de Toulouse, BP 50048, 33401 Talence cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Pigot
authors.affiliation: Institut de proctologie Léopold-Bellan, hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Pillant-Le Moult
authors.affiliation: CHP Rennes Saint-Grégoire, 6, boulevard de la Boutière, 35760 Saint-Grégoire, France.
authors.forename: A
authors.initials: A
authors.lastname: Senéjoux
authors.affiliation: Service de gastroentérologie, CHU Pontchaillou, 35033 Rennes cedex 9, France.
authors.forename: L
authors.initials: L
authors.lastname: Siproudhis
authors.affiliation: Clinique St.-Jean Languedoc, 20, route de Revel, Cs 37707, 31077 Toulouse cedex 4, France.
authors.forename: G
authors.initials: G
authors.lastname: Staumont
authors.affiliation: Clinique St.-Jean Languedoc, 20, route de Revel, Cs 37707, 31077 Toulouse cedex 4, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Suduca
authors.affiliation: Service de chirurgie digestive, centre hospitalier inter-communal de Poissy Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, BP 73082, 78303 Poissy cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Vinson-Bonnet
mesh_terms: D000556:Ambulatory Surgical Procedures; D000700:Analgesics / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004035:Diet Therapy; D017558:Elective Surgical Procedures; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D061865:Hemorrhoidectomy; D006484:Hemorrhoids / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D054368:Laxatives / Q000627:therapeutic use; D010149:Postoperative Pain / Q000517:prevention & control
chemical_list: D000700:Analgesics; D000893:Anti-Inflammatory Agents; D005765:Gastrointestinal Agents; D054368:Laxatives
keywords: Guidelines; Hemorrhoids; Treatment