Symptomatic hemorrhoids represent one of the most common disease processes that affects patients and accounts for more than 2.2 million outpatient visits each year. It is important for physicians to be able to evaluate common anorectal symptoms and correctly diagnose hemorrhoids, rule out more serious conditions such as cancer, and have a clear understanding of the treatment options.
The current set of guidelines represents an update to the guidelines published by the same group in 2011. These guidelines were developed by the American Society of Colon and Rectal Surgeons Clinical Practice Guidelines Committee. Each member disclosed any conflict of interest. The source material was selected, and the quality and evidence base was reviewed by a subcommittee. The subcommittee then developed the treatment guidelines. Subcommittee recommendations were reviewed by the entire committee for further input, and review with the final guidelines was approved by the American Society of Colon and Rectal Surgeons Clinical Guidelines Committee and the American Society of Colon and Rectal Surgeons Executive Council (Table).
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Muldoon R. Review of American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids. JAMA Surg. Published online June 17, 2020. doi:10.1001/jamasurg.2020.0788
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