Амбулаторная хирургия (Dec 2017)
Incidence of hemorrhoid occurrence risk factors and definition of the relationship between hemorrhoids and chronic vein diseases. Results of the russian part of the international program CHORUS
Abstract
The results of the Russian part of the CHORUS International Multicenter Screening Program aimed at examining the frequency of symptoms and the risk factors of hemorrhoids in real life conditions are presented to identify possible relationships between hemorrhoids and chronic vein diseases (CVD). A survey of 2 668 patients applying for hemorrhoids was presented. Among them 1 438 (53.9%) women and 1 230 (46.1%) men aged between 18 and 92 years. All the patients passed study of the colon, anascopy and the hemorrhoids stage was established. On the basis of examinations and complaints in 1539 (57.9%) of patients CVD signs were detected. The relationship between hemorrhoids and CVD was identified. A comparative analysis showed that the symptoms of hemorrhoids, repeated visits to doctors and the frequency of repeated visits to doctors for hemorrhoids in a group of CVD patients were more significant than in a group without CVD. With the increase in hemorrhoids stage the incidence of CVD is also increasing significantly among patients. The impairment of the intestinal transit was estimated by the length of defecation and consistency of the stool. The data obtained showed that every fourth patient who applied to the doctor due to hemorrhoids had constipation. Also the relationship between the constipation and the gravity of hemorrhoids was shown. In patients with constipation the symptoms of hemorrhoids are more frequent, and the number of patients with III and IV stage hemorrhoids is significantly higher.
