Hépato-Gastro & Oncologie Digestive


How to evaluate hemorrhoidal disease? Clinical evaluation, symptom scores and impact on the choice of treatment… Volume 28, issue 6, Juin 2021


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Groupe hospitalier Paris Saint-Joseph, Service de proctologie médico-chirurgicale, 185, rue Raymond Losserand, 75014 Paris
* Correspondance

Haemorrhoidal disease is a very frequent pathology with a varied clinical presentation. Its symptoms are not specific and the clinical exam is essential in order to rule out other differential diagnoses. Moreover, there is no parallelism between the importance of the anatomical pathology and the haemorrhoidal symptoms. Several classifications have been proposed to evaluate the severity of the haemorrhoidal disease, guide its treatment and evaluate its efficacy. The most commonly used is the Goligher's Classification which only evaluates prolapse. Other scores are more composite and take in consideration this disease in its globality (bleeding, pain, quality of life, etc.). They were recently available and their use remains limited. Therefore, the ideal classification aiming to precisely guide the treatment does not exist yet…