GLEM/LOK report on proctology practice in Belgium. Results, comments and recommendations

The article summarizes the response of eighty-eight Belgian gastroenterologists to a questionnaire on proctology practice, established by the common evaluation groups (GLEM/LOK) of medical practice. The results of the inquiry concerning haemorrhoids, anal fissure, abscess and fistula, and faecal incontinence are discussed separately. Each chapter is completed by specific therapeutic and/or diagnostic recommendations. These are based on the official statements of the American Gastroenterological Association and on our own clinical practice. There are still no official guidelines on proctology in Belgium and neighbouring countries. The diagnostic and therapeutic quality of the approach of our proctologic patients should improve by appropriate proctologic education and training in selected centres.