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Frequency of hemorrhoidal complaints in a Real-Life Population and Possible Concomitance between hemorrhoidal Disease and Chronic Venous Disease: Going Further in Our Understanding of hemorrhoidal Disease

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Surgical Science 2021年第9期12卷 319-331页

作者： Sheikh Firoj Kabir Debasish Das Kazi Zana Alam Mahbub Murshed Din Mohammad Department of Surgery US Bangla Medical College Narayanganj Bangladesh Department of Surgery Enam Medical College & Hospital Savar Bangladesh Department of Surgery Sylhet M.A.G. Osmani Medical College & Hospital Sylhet Bangladesh Department of Surgery Mainamoti Medical College & Hospital Cumilla Bangladesh Department of Surgery Shaheed Suhrawardy Medical College and Hospital Dhaka Bangladesh

Introduction: Hemorrhoids, more commonly known as piles, are swollen veins, similar to varicose veins in the lower rectum. Hemorrhoids can develop both inside and outside the rectum, and oftentimes, the cause of hemorrhoids remains unknown. This is an extremely common ailment faced by three out of four adults in their lifetime. Hemorrhoids can cause various kinds of complications, but the most common and serious ones are perianal thrombosis and incarcerated prolapsed internal hemorrhoids with subsequent thrombosis. They are accompanied by severe pain in the perianal region, and possible bleeding. Data on the coexistence of hemorrhoids with other conditions are sparse. Some data are consistent with a common pathophysiological link between straining at stool, constipation, and obstetrical events such as pregnancy and delivery. These events are also involved in the development of Chronic Vein Disease (CVD) or Chronic Vein Insufficiency (CVI). CVI is a condition that occurs when the venous walls or valves in the leg veins stop working properly, causing difficulty in blood returning to the heart from the legs. The present study was conducted with an aim to determine the frequency of complaints in hemorrhoidal patients and to assess the possible concomitance between hemorrhoidal disease and chronic venous disease. Methods: This was a multicenter, cross-sectional, observational study that enrolled patients spontaneously consulting for hemorrhoids in 17 different hospitals of different regions of Bangladesh from<

关键词： hemorrhoidal complaints Chronic Venous Disease Frequency

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