Acute (profuse) hemorrhoidal bleeding
- Authors: Khairullin A.A.1,2, Klimentov M.N.1, Styazhkina S.N.1, Skornyakova E.O.2, Sysoev S.V.2
-
Affiliations:
- Izhevsk State Medical Academy
- First Republican Clinical Hospital
- Issue: Vol 40, No 3 (2023)
- Pages: 5-9
- Section: Original studies
- URL: https://ogarev-online.ru/PMJ/article/view/254858
- DOI: https://doi.org/10.17816/pmj4035-9
- ID: 254858
Cite item
Full Text
Abstract
Objective. Hemorrhoids is one of the most common diseases in adult coloproctological practice, the main manifestation of which is bleeding of different degree of activity and complexity. The aim of the study was to analyze the results of diagnostics and treatment of patients with different stages of hemorrhoids for 3 years.
Materials and methods. The results of diagnostics and treatment of patients with different stages of hemorrhoids treated in the coloproctological unit for 3 years (2019–2021) were analyzed.
Results. The article considers the hemorrhoidal bleeding and the possibility of classification to optimize treatment; an algorithm used for rendering medical care to this group of patients is presented. The case histories of patients with hemorrhoids, treated at the First Republican Clinical Hospital of Udmurt Republic, were analyzed.
Conclusions. Patients with profuse hemorrhoidal bleeding need hospitalization to the resuscitation unit, immediate identification and treatment of hemorrhagic shock. The offered protocol (algorithm) of managing patients permitted to work in a team, improve the quality of rendering medical care to patients with profuse hemorrhoidal bleeding and avoid lethal outcomes.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Aiwaz A. Khairullin
Izhevsk State Medical Academy; First Republican Clinical Hospital
Email: paceg@mail.ru
ORCID iD: 0000-0002-3609-6388
postgraduate student, Department of Faculty Surgery, coloproctologist
Russian Federation, Izhevsk; IzhevskMikhail N. Klimentov
Izhevsk State Medical Academy
Author for correspondence.
Email: Klimentov52@mail.ru
Candidate of Medical Sciences, Associate Professor, Department of Faculty Surgery
Russian Federation, IzhevskSvetlana N. Styazhkina
Izhevsk State Medical Academy
Email: paceg@mail.ru
MD, PhD, Professor, Department of Faculty Surgery
Russian Federation, IzhevskElena O. Skornyakova
First Republican Clinical Hospital
Email: paceg@mail.ru
endoscopist
Russian Federation, IzhevskSergey V. Sysoev
First Republican Clinical Hospital
Email: paceg@mail.ru
Candidate of Medical Sciences, Head of the Unit of Coloproctology
Russian Federation, IzhevskReferences
- Vorob'ev G.I., Blagodarnyj L.A., Shelygin Ju.A. Hemorrhoids: modern treatment tactics. Consilium medicum 2000; 27–30 (in Russian).
- Zhukov B.N., Shabaev V.N., Isaev V.R., Lysov N.A. Coloproctology. Samara: SamGMU 1999; 132 (in Russian).
- Clinical recommendations. Coloproctology. Pod red. Ju. A. Shelygina. Moscow: GJeOTAR-Media 2020; 528 (in Russian).
- Bronshtejn A.S., Rivkin V.L., Fajn S.N. Guidelines for coloproctology. Edition 2–3 expanded. Moscow: Medpraktika 2004 (in Russian).
- Vorob'ev G.I., Shelygin Ju.A., Blagodarnyj L.A. Hemorrhoids. Moscow: Littera 2010 (in Russian).
- Jeremy W.Cannon. Hemorrhagic Shook. N Endi J Med. Moscow 2018; 4: 378.
- Zhdanov G.G., Zil'ber A.P. Resuscitation and intensive care. Moscow: Akademija 2007; 410 (in Russian).
Supplementary files
