Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol 2015; 21(31): 9245-9252 [PMID: 26309351 DOI: 10.3748/wjg.v21.i31.9245]
Corresponding Author of This Article
Varut Lohsiriwat, MD, PhD, Associate Professor of Surgery, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang-Lung Road, Bangkok Noi, Bangkok 10700, Thailand. bolloon@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Aug 21, 2015; 21(31): 9245-9252 Published online Aug 21, 2015. doi: 10.3748/wjg.v21.i31.9245
Treatment of hemorrhoids: A coloproctologist’s view
Varut Lohsiriwat
Varut Lohsiriwat, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Author contributions: Lohsiriwat V solely contributed to this article.
Conflict-of-interest statement: The author declare no conflict of interest
Supported by Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Varut Lohsiriwat, MD, PhD, Associate Professor of Surgery, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang-Lung Road, Bangkok Noi, Bangkok 10700, Thailand. bolloon@hotmail.com
Telephone: +66-2419-8005 Fax: +66-2412-1370
Received: January 26, 2015 Peer-review started: January 27, 2015 First decision: April 14, 2015 Revised: April 21, 2015 Accepted: July 3, 2015 Article in press: July 3, 2015 Published online: August 21, 2015 Processing time: 205 Days and 22.9 Hours
Core Tip
Core tip: Hemorrhoids is a very common anorectal disease defined as the symptomatic enlargement and/or distal displacement of anal cushions. Apart from abnormally dilated vascular channel and destructive changes in supporting tissue within anal cushions, there is emerging evidence that hemorrhoids is associated with hyperperfusion state of anorectal region and some degree of tissue inflammation. This article comprehensively and thoroughly reviews the pathophysiology, clinical diagnosis, and current treatment of hemorrhoids - which includes dietary and lifestyle modification, pharmacological approach, office-based procedures and operations for hemorrhoids (such as hemorrhoidectomy and other non-excisional surgery). The management of hemorrhoids in complicated situations is also addressed.