Annals of African Medicine
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Year : 2019  |  Volume : 18  |  Issue : 1  |  Page : 12-16

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

1 Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
2 Oak Endoscopy Centre, Digestive Disease Unit, Port Harcourt, Nigeria

Correspondence Address:
Dr. Emeka Ray-Offor
Department of Surgery, University of Port Harcourt Teaching Hospital, P.M.B. 6173, Rivers State, Port Harcourt
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aam.aam_4_18

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Background: An engorgement and prolapse of the anal cushion lead to haemorrhoidal disease. There are different anatomical sites and presentation of this common pathology which affects the quality of life. Aims: To study the predilection sites, presentation and treatment of haemorrhoidal disease. Patients and Method: A cohort study of patients diagnosed with haemorrhoids at an Endoscopy centre in Port Harcourt, Rivers State Nigeria from February 2014- July 2017.The patients were divided into 2 groups: A - asymptomatic and B- symptomatic. Variables studied included: demographics, anatomic variations, grade of haemorrhoids, clinical presentation and treatment. Statistical analysis was performed using IBM SPSS Statistics for Windows, version 20.0. Armonk, NY. Results: One hundred and twenty- one cases were included in study. There were 76 males and 45 males with age range from 15 -80 years (mean 51.9±13.1yrs). Bleeding per rectum was the most common presentation. The position frequency of haemorrhoids in decreasing order were: right posterior (34.1%); right anterior (28.2%); left lateral (17.1%); left posterior (7.6%). Multiple quadrants were affected in 58(72.5%) cases of external haemorrhoids. Grade I, II and III haemorrhoids were seen in 38 (31%), 31(26%) and 21(17%) cases respectively. Conclusion: The most common anatomical site of external haemorrhoids is the right posterior quadrant position; frequently, multiple sites are simultaneously affected. Goligher classification Grade 1 hemorrhoids are effectively treated by injection sclerotherapy using 50% dextrose solution; a cheap and physiologic sclerotherapy agent.

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