Published online Mar 27, 2019. doi: 10.4240/wjgs.v11.i3.117
Peer-review started: March 11, 2019
First decision: March 19, 2019
Revised: March 19, 2019
Accepted: March 20, 2019
Article in press: March 20, 2019
Published online: March 27, 2019
Classification and guidelines of hemorrhoidal disease are based on the subdivision in Grades of prolapse followed by any aspect related to both the treatment and its technique. When taking the proposals for classification and guidelines issued by prolific scientific societies into consideration, it is evident that strong contradictions and interpretative limits emerge in finding the best treatment to be adopted. After a critical examination of these limitations, a methodological proposal is shared to achieve a new classification, which plays a part in forming a new guideline for hemorrhoidal disease, identifying its evolution, dynamism of the prolapse, symptomatology, enteropathogenesis and gender characteristics.
Core tip: Hemorroidal disease is a common pathological entity, matter of discussion with regard to classification and guidelines. After a critical examination of these, a methodological proposal is shared to achieve a new classification, which plays a part in forming a new guideline for hemorrhoidal disease, identifying its evolution, dynamism of the prolapse, symptomatology, enteropathogenesis and gender characteristics.