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[Haemorrhoidal disease: from pathophysiology to clinical presentation]
Jean-David Zeitoun1, Vincent de Parades
1Hôpital Henri-Mondor, service de gastroentérologie, Créteil, France. jdzeitoun@yahoo.fr
Presse Medicale (Paris, France : 1983)
|August 9, 2011
Summary
Hemorrhoidal disease, a common proctological issue, involves tissue and vascular changes. Diagnosis is clinical, with colonoscopy recommended for those over 40 to exclude cancer.
Area of Science:
- Proctology
- Gastroenterology
- Vascular Biology
Context:
- Hemorrhoidal disease is a leading reason for proctological consultations.
- Its epidemiology is not well-documented.
- Understanding pathophysiology is crucial for effective management.
Purpose:
- To summarize the current understanding of hemorrhoidal disease.
- To highlight diagnostic criteria and recommended follow-up procedures.
Summary:
- Hemorrhoidal disease involves supporting tissue fragmentation and vascular alterations (hypervascularization, impaired venous return).
- External hemorrhoid complications include thrombosis causing acute anal pain.
- Internal hemorrhoids present with prolapse and/or bleeding, diagnosed via physical exam.
- Colonoscopy is advised for patients over 40-45 to rule out colorectal cancer.
Impact:
- Improved understanding of hemorrhoidal disease pathophysiology.
- Clearer diagnostic pathways and age-based screening recommendations.
- Enhanced patient care through accurate diagnosis and timely cancer exclusion.
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