ArticleBMC gastroenterology2013
Medical and surgical treatment of haemorrhoids and anal fissure in Crohn's disease: a critical appraisal.
Article in BMC gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 68 citations in OpenAlex.
- Laser hemorrhoidoplasty versus hemorrhoidectomy in the treatment of surgically indicated hemorrhoids in inflammatory bowel patients: a randomized comparative clinical study.Surgical endoscopy · 2025Trial
- Is hemorrhoidal surgery really unsafe in inflammatory bowel disease? Results from the HEAD-IBD multicenter study on behalf of IG-IBD.Techniques in coloproctology · 2026Article
- Non-Fistulizing Perianal Disease in Crohn's Disease: Clinical Significance, Pathogenesis, and Management Strategies.Journal of clinical medicine · 2025Review
- Treatment of chronic anal fissure in Crohn's disease patients with freshly collected autologous adipose tissue: a pilot study.Techniques in coloproctology · 2025Article
- Taiwan society of colon and rectal surgeons' consensus on the management of hemorrhoidal disease.International journal of colorectal disease · 2025Review
- Efficacy and safety of office-based procedures for hemorrhoidal disease in patients with inflammatory bowel disease.Techniques in coloproctology · 2025Article
- Nonfistulizing Perianal Crohn's Disease.Clinics in colon and rectal surgery · 2025Review
- Navigating the complexities of perianal Crohn's disease: Diagnostic strategies, treatment approaches, and future perspectives.World journal of gastroenterology · 2024Article
- State-of-the-art surgery for Crohn's disease: part III-perianal Crohn's disease.Langenbeck's archives of surgery · 2023Review
- Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review.World journal of clinical cases · 2023Article
- Surgical Management of Hemorrhoidal Disease in Inflammatory Bowel Disease: A Systematic Review with Proportional Meta-Analysis.Journal of clinical medicine · 2022Review
- Hemorrhoidal surgery in patients with IBD: caution is the parent of safety.Techniques in coloproctology · 2021Article
- Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease.Techniques in coloproctology · 2020Review
- Portuguese Society of Gastroenterology Consensus on the Diagnosis and Management of Hemorrhoidal Disease.GE Portuguese journal of gastroenterology · 2020Article
- How to manage anal ulcerations and anorectal stenosis in Crohn's disease: algorithm-based decision making : French National Working Group Consensus 2018.Techniques in coloproctology · 2019Article
- Rubber band ligation of hemorrhoids: A guide for complications.World journal of gastrointestinal surgery · 2016Review
- Anal Fissure.Clinics in colon and rectal surgery · 2016Review
- Sphincterotomy for anal fissure in Crohn's disease: is it dangerous?International journal of colorectal disease · 2016Article
- Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review.The Indian journal of surgery · 2015Review
- Differential diagnosis in inflammatory bowel disease colitis: state of the art and future perspectives.World journal of gastroenterology · 2015Review
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe principle to avoid surgery for haemorrhoids and/or anal fissure in Crohn's disease (CD) patients is still currently valid despite advances in medical and surgical treatments. In this study we report our prospectively recorded data on medical and surgical treatment of haemorrhoids and anal fissures in CD patients over a period of 8 years.
methodsClinical data of patients affected by perianal disease were routinely and prospectively inserted in a database between October 2003 and October 2011 at the Department of Surgery, Tor Vergata University Hospital, Rome. We reviewed and divided in two groups records on CD patients treated either medically or surgically according to the diagnosis of haemorrhoids or anal fissures. Moreover, we compared in each group the outcome in patients with prior diagnosis of CD and in patients diagnosed with CD only after perianal main treatment.
resultsEighty-six CD patients were included in the study; 45 were treated for haemorrhoids and 41 presented with anal fissure. Conservative approach was initially adopted for all patients; in case of medical treatment failure, the presence of stable intestinal disease made them eligible for surgery. Fifteen patients underwent haemorrhoidectomy (open 11; closed 3; stapled 1), and two rubber band ligation. Fourteen patients required surgery for anal fissure (Botox ± fissurectomy 8; LIS 6). In both groups we observed high complication rate, 41.2% for haemorrhoids and 57.1% for anal fissure. Patients who underwent haemorrhoidectomy without certain diagnosis of CD had significantly higher risk of complications.
conclusionsConservative treatment of proctologic diseases in CD patients has been advocated given the high risk of complications and the evidence that spontaneous healing may also occur. From these preliminary results a role of surgery is conceivable in high selected patients, but definitve conclusions can't be made. Further randomized trials are needed to establish the efficacy of the surgical approach, giving therapeutic recommendations and guidelines.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.