Abstract

Hemorrhoidal pathology is a benign affection occupying a special place in medical practice, posing essentially therapeutic problems. The aim of this work was to study the epidemiological, therapeutic and evolutionary characteristics of this hemorrhoidal pathology.

We conducted a prospective study in the gastroenterology department of the CHU Mohamed VI of Marrakech over a period of 06 months (March 2019 - September 2019) where we collected 130 cases. The average age was 45.9 years with a clear predominance of men: sex ratio M / F = 1.95. The main reason for consultation was isolated rectal bleeding in 32% of patients. Proctologic examination revealed internal hemorrhoids, mainly stage II and stage III in 58.4% of patients, followed by external hemorrhoids in 16.9% of our patients. Paraclinically, CBC was performed in all patients with rectal bleeding and anemia was found in 17%. Thus, additional endoscopic exploration by colonoscopy was performed in 14.6% of cases returning to normal. The therapeutic management consisted primarily of hygienic and dietary measures in all our patients, 80% received drug treatment; while 25% received Instrumental rubber band ligation treatment after treatment failure, and only 16% of patients received surgical DTC. The evolution was marked by effective treatment in 78.46% of patients, while 28 patients presented minimal complications ranging from simple anal pain to a more or less extensive and serious infection. Despite the effectiveness of surgical treatment, it should be the last resort after a possible failure of medical and instrumental treatment.

Keywords: Hemorrhoidal disease, epidemiology, medical treatment, instrumental treatment, complications, Morocco

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Hala, A., Hanane, E. A., Errami, A. A., Oubaha, S., Samlani, Z., & Krati, K. (2022). Epidemiological, Therapeutic and Evolutionary Profile of the Hemorrhoidal Pathology: Experience of The Gastroenterology Department of MED VI University Hospital of Morocco. International Journal of Innovative Research in Medical Science, 7(09), 455–457. https://doi.org/10.23958/ijirms/vol07-i09/1495

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Copyright © 2022 Aouroud Hala El Abassi Hanane Adil Ait Errami Sofia Oubaha Zouhour Samlani Khadija Krati this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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This work is licensed under a Creative Commons Attribution 4.0 International License.