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Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Perspective Article

Scoring System for Haemorrhoidal Disease

Author(s): Francesco Maria Romano, Guido Sciaudone, Silvestro Canonico, Francesco Selvaggi* and Gianluca Pellino

Volume 16, Issue 1, 2021

Published on: 19 March, 2020

Page: [96 - 100] Pages: 5

DOI: 10.2174/1574887115666200319162033

Abstract

Hemorrhoidal Disease (HD) is widely diffused throughout the general population. The system of classification currently used to categorize this pathology is that of Goligher (1975). Several attempts in literature have been made to refine this classification, but as of yet, no single system has been universally accepted. Some studies, however, have succeeded in identifying specific characteristics, besides morphology, that would be able to aptly define HD. An analysis of the literature, with careful consideration of the scores that have previously been proposed, was performed, with the aim of deepening and stimulating discussion about a possible new definition of HD.

Keywords: Haemorrhoids, score, symptom score, risk score, grade, classification, tailored treatment.

[1]
Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management. World J Gastroenterol 2012; 18(17): 2009-17.
[http://dx.doi.org/10.3748/wjg.v18.i17.2009] [PMID: 22563187]
[2]
Gallo G, Sacco R, Sammarco G. Epidemiology of Hemorrhoidal Disease.Hemorrhoids Coloproctology. Cham: Springer 2018; Vol. 2: pp. 3-7.
[http://dx.doi.org/10.1007/978-3-319-53357-5_1]
[3]
Serra R, Gallelli L, Grande R, et al. Hemorrhoids and matrix metalloproteinases: A multicenter study on the predictive role of biomarkers. Surgery 2016; 159(2): 487-94.
[http://dx.doi.org/10.1016/j.surg.2015.07.003] [PMID: 26263832]
[4]
Goligher JC. Surgery of the Anus, Rectum and Colon. 4th ed. London: Ballierè Tindal 1980.
[5]
Higuero T, Abramowitz L, Castinel A, et al. Guidelines for the treatment of hemorrhoids (short report). J Visc Surg 2016; 153(3): 213-8.
[http://dx.doi.org/10.1016/j.jviscsurg.2016.03.004] [PMID: 27209079]
[6]
Altomare DF, Roveran A, Pecorella G, Gaj F, Stortini E. The treatment of hemorrhoids: Guidelines of the Italian Society of Colorectal Surgery. Tech Coloproctol 2006; 10(3): 181-6.
[http://dx.doi.org/10.1007/s10151-006-0277-y] [PMID: 16969619]
[7]
Rubbini M, Ascanelli S. Classification and guidelines of hemorrhoidal disease: Present and future. World J Gastrointest Surg 2019; 11(3): 117-21.
[http://dx.doi.org/10.4240/wjgs.v11.i3.117] [PMID: 31057696]
[8]
Jacobs DO. Hemorrhoids: What are the options in 2018? Curr Opin Gastroenterol 2018; 34(1): 46-9.
[http://dx.doi.org/10.1097/MOG.0000000000000408] [PMID: 29076869]
[9]
Shanmugam V, Thaha MA, Rabindranath KS, Campbell KL, Steele RJ, Loudon MA. Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy. Br J Surg 2005; 92(12): 1481-7.
[http://dx.doi.org/10.1002/bjs.5185] [PMID: 16252313]
[10]
Simillis C, Thoukididou SN, Slesser AA, Rasheed S, Tan E, Tekkis PP. Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg 2015; 102(13): 1603-18.
[http://dx.doi.org/10.1002/bjs.9913] [PMID: 26420725]
[11]
Jacobs D. Clinical practice. Hemorrhoids. N Engl J Med 2014; 371(10): 944-51.
[http://dx.doi.org/10.1056/NEJMcp1204188] [PMID: 25184866]
[12]
Elbetti C, Giani I, Consiglio FM, Novelli E, Santini A, Martellucci J. Tailored excisional treatment for high-grade haemorrhoidal disease. Updates Surg 2014; 66(4): 283-7.
[http://dx.doi.org/10.1007/s13304-014-0269-9] [PMID: 25304285]
[13]
Gaj F, Trecca A. PATE 2000 Sorrento: a modern, effective instrument for defining haemorrhoids. A multicentre observational study conducted in 930 symptomatic patients. Chir Ital 2004; 56(4): 509-15.
[PMID: 15452989]
[14]
Elbetti C, Giani I, Novelli E, Fucini C, Martellucci J. The single pile classification: A new tool for the classification of haemorrhoidal disease and the comparison of treatment results. Updates Surg 2015; 67(4): 421-6.
[http://dx.doi.org/10.1007/s13304-015-0333-0] [PMID: 26547759]
[15]
Gaj F, Trecca A. New “PATE 2006” system for classifying hemorrhoidal disease: advantages resulting from revision of “PATE 2000 Sorrento”. Chir Ital 2007; 59(4): 521-6.
[PMID: 17966774]
[16]
Pucher PH, Qurashi M, Howell AM, et al. Development and validation of a symptom-based severity score for haemorrhoidal disease: the Sodergren score. Colorectal Dis 2015; 17(7): 612-8.
[http://dx.doi.org/10.1111/codi.12903] [PMID: 25603811]
[17]
Gerjy R, Lindhoff-Larson A, Nyström PO. Grade of prolapse and symptoms of haemorrhoids are poorly correlated: result of a classification algorithm in 270 patients. Colorectal Dis 2008; 10(7): 694-700.
[http://dx.doi.org/10.1111/j.1463-1318.2008.01498.x] [PMID: 18294262]
[18]
Lee MJ, Morgan J, Watson AJM, Jones GL, Brown SR. A validated severity score for haemorrhoids as an essential prerequisite for future haemorrhoid trials. Tech Coloproctol 2019; 23(1): 33-41.
[http://dx.doi.org/10.1007/s10151-019-01936-9] [PMID: 30725242]
[19]
Selvaggi F, Pellino G, Sciaudone G, Candilio G, Canonico S. Development and validation of a practical score to predict pain after excisional hemorrhoidectomy. Int J Colorectal Dis 2014; 29(11): 1401-10.
[http://dx.doi.org/10.1007/s00384-014-1999-3] [PMID: 25155619]
[20]
van Tol RR, van Zwietering E, Kleijnen J, et al. Towards a core outcome set for hemorrhoidal disease-a systematic review of outcomes reported in literature. Int J Colorectal Dis 2018; 33(7): 849-56.
[http://dx.doi.org/10.1007/s00384-018-3046-2] [PMID: 29680897]
[21]
Selvaggi F, Sciaudone G, Giuliani A. New ambulatory treatment with radiofrequency for internal symptomatic hemorrhoids: Morbidity evaluation. Gastroenterol Clin Biol 2005; 29(8-9): 939-40.
[http://dx.doi.org/10.1016/S0399-8320(05)86462-0] [PMID: 16294167]
[22]
Pellino G, Petronella P, Selvaggi F. Gradual staple line disruption presenting with subtle multidiverticular pocket syndrome after STARR. Updates Surg 2014; 66(4): 291-2.
[http://dx.doi.org/10.1007/s13304-014-0274-z] [PMID: 25449526]
[23]
Selvaggi F, Pellino G, Sciaudone G. Surgical treatment of recurrent prolapse after stapled haemorrhoidopexy. Tech Coloproctol 2014; 18(9): 847-50.
[http://dx.doi.org/10.1007/s10151-014-1180-6] [PMID: 24957359]
[24]
Pescatori M, Gagliardi G. Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 2008; 12(1): 7-19.
[http://dx.doi.org/10.1007/s10151-008-0391-0] [PMID: 18512007]
[25]
Sciaudone G, Di Stazio C, Guadagni I, Selvaggi F. Rectal diverticulum: A new complication of STARR procedure for obstructed defecation. Tech Coloproctol 2008; 12(1): 61-3.
[http://dx.doi.org/10.1007/s10151-008-0389-z] [PMID: 18512015]

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