The Russian Association of Coloproctology Clinical Guidelines for the Diagnosis and Treatment of Hemorrhoids

Шелыгин, Ю. А.; Фролов, С. А.; Титов, А. Ю.; Благодарный, Л. А.; Васильев, С. В.; Веселов, А. В.; Григорьев, Е. Г.; Кашников, В. Н.; Костарев, И. В.; Костенко, Н. В.; Кузьминов, А. М.; Куликовский, В. Ф.; Maynovskaya, O. A.; Мудров, А. А.; Муравьев, А. В.; Половинкин, В. В.; Тимербулатов, В. М.; Хубезов, Д. А.; Яновой, В. В.

doi:10.33878/2073-7556-2019-18-1-7-38

Cited by 20 publications

(12 citation statements)

References 54 publications

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“…In this article, we review and summarize the clinical evidence for the efficacy of MPFF in the treatment of acute HD (appearing within the past 7 days [11]), and as an adjunct following hemorrhoidectomy or outpatient procedures. We also discuss the acceptability of MPFF and its position in current guidelines [12][13][14][15][16].…”

Section: Overviewmentioning

confidence: 99%

“…The Russian Association of Coloproctology gives MPFF a grade B (evidence level 1a) recommendation for the treatment of HD in its clinical guidelines for the diagnosis and treatment of hemorrhoids [16]. For hemorrhoid pain, systemic treatment with MPFF is recommended in combination with non-narcotic analgesics, local anesthetics and topical combination treatments.…”

Section: Mpff In Hd Treatment Guidelinesmentioning

confidence: 99%

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Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease

et al. 2021

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Hemorrhoidal disease (HD) is common in adults. Treatment is largely conservative, although more invasive procedures may be required. Venoactive drugs such as micronized purified flavonoid fraction (MPFF) are widely used, but a recent and comprehensive review of supporting evidence is lacking. In acute HD, MPFF can reduce HD symptoms such as bleeding, pain, anal discomfort, anal discharge and pruritus. In patients undergoing surgery, postoperative adjunct MPFF consistently reduces pain, bleeding duration and use of analgesia. MPFF treatment is appropriate and effective both as a first-line conservative treatment and as a postoperative adjunct treatment. MPFF reduces the duration of hospital stay following surgery, facilitating a return to normal activity and improving quality of life. MPFF may also prevent HD recurrence.

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Section: Overviewmentioning

confidence: 99%

Section: Mpff In Hd Treatment Guidelinesmentioning

confidence: 99%

Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease

et al. 2021

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“…Потенциальные списка авторов работ, в которых публиковались данные о результатах АС и АП [18,20,22,[24][25][26][27][28][29][30][31][32][33]. Онлайн-опрос проводился анонимно, с использованием программного обеспечения «Google формы» (Google LLC, США), потенциальные участники опроса получали ссылку на анкету: https://forms.gle/tffNd57mM9BjmfXLA.…”

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Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

2020

Terapevticheskii arkhiv

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Aim to describe the results of a multidisciplinary discussion on the terminology of anorectal sphincterometry (AS) and profilometry (AP). We performed online survey with the use of public platform Google forms to harmonize Russian terms to be used to describe the results of AP and AS and their abbreviations. The invitation to participate in the survey was sent to the authors who use the results of AP and AS in clinical practice and perform the diagnostic procedures. The obtained answers were analyzed with the use of the aggregator and Statistica 10 (StatSoft Inc, USA) software. The level of consensus was analyzed with the use of modified Delphi criteria (C1 agreement of 90% of participants, C2 agreement of 75 to 90%, C3 less than 75%). Invitations sent 76, responses obtained 63 (response rate 82.9%). Consensus level 1 was reached for all the terms of AP and for 4out of 7 terms to describe the results of AS (3 out of 7 terms were of moderate agreement, C2). The need for the use of predefined abbreviations of terms for AS and AP was of a low rate of consensus (71.4%). The agreed terms of AS and AP should be used to prepare a conclusion for the diagnostic procedures and to publish scientific reports.

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“…Дистрофические изменения поддерживающих мышечно-соединительнотканных элементов, приводит к их ослаблению и смещение геморроидальных узлов в дистальном направлении. [1][2][3][4][5][6][7][8][9].…”

Section: Introductionunclassified

“…Данная патология наблюдается у 36% населения экономически развитых и экономически развивающихся странах, в Российской Федерации на 1000 человек взрослого населения приходится 140-160 больных геморроем. [4,[12][13][14] В США каждый год отмечаются более 2 млн амбулаторных обращений по поводу геморроидальной болезни [15,16]. Более 40% пациентов проктологического отделения являются больные с геморроем [4,8,17].…”

Section: Introductionunclassified

The importance of hemorrhoidal disease in the modern world

Styazhkina

Mullakhmetov

Khuzina

et al. 2023

jour

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Aim. To study the incidence of hemorrhoidal disease in the Udmurt Republic on the basis of statistical data of the coloproctology department at the Budgetary Healthcare Institution “The First Republican Clinical Hospital of the Ministry of Health of the Udmurt Republic”, Izhevsk, for 2018-2020 and a clinical case of a patient with acute hemorrhoids. Materials and methods. The data of 6506 medical records of outpatients and inpatients with diagnoses K64.0-K64.5 were analyzed. The evaluation of the results was carried out according to the following criteria: gender, age composition, region, diagnosis of patients, progression of the disease, type of surgery. A clinical case of a patient with acute hemorrhoids is presented. Results. Among the hospitalized patients, the male population prevailed (57.1%); among the outpatient patients, the female population prevailed (57.5%). Most of the patients were young and middle-aged patients (77% of hospitalized patients, 70.6% of outpatient patients). The urban population comprised 65.1% of hospitalized patients and 59.1% of outpatient patients. A chronic form of the disease was registered in 94.6% of the hospitalized patients and in 92.3% of the outpatient patients. Among all surgical interventions hemorrhoidectomy was conducted in 73.0% of cases. The analysis of the diagnosis and treatment of hemorrhoidal disease on the basis of a clinical case with positive results was carried out. Conclusions. According to the data obtained by the department, it can be said that among all patients diagnosed with hemorrhoids, the able-bodied and young, mainly urban population prevails, which indicates the influence of urabanization on the development of hemorrhoidal disease. The disease is equally prevalent in men and women. The chronic form prevails in the structure of the incidence of hemorrhoidal disease. The most commonly used surgical treatment of hemorrhoidal disease is hemorrhoidectomy.

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The Russian Association of Coloproctology Clinical Guidelines for the Diagnosis and Treatment of Hemorrhoids

Cited by 20 publications

References 54 publications

Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease

Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

The importance of hemorrhoidal disease in the modern world

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