Belgian consensus guideline on the management of hemorrhoidal disease

Introduction : Hemorrhoidal disease is a common problem that arises when hemorrhoidal structures become engorged and/or prolapse through the anal canal. Both conservative and invasive treatment options are diverse guidance to their implementation lacking. Methods A Delphi consensus process was used review current literature draft relevant statements. These were reconciliated until sufficient agreement reached. The grade of evidence determined. guidelines based on published up June 2020. Results Hemorrhoids normal within anorectal region. When they or slide down canal, symptoms can arise. Every for symptomatic hemorrhoids should be tailored patient profile expectations. For low-grade hemorrhoids, consist fiber supplements include short course venotropics. Instrumental added case by infrared coagulation rubber band ligation more prominent. prolapsing surgery indicated refractory cases. Conventional hemorrhoidectomy most efficacious intervention all grades only choice non-reducible hemorrhoids. Conclusions management recommendations clinical evaluation disorders, conservative, instrumental surgical management.