Belgian consensus guideline on the management of hemorrhoidal disease.

peer reviewed ; 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 and guidance to their implementation is lacking. METHODS: A Delphi consensus process was used to review current literature and draft relevant statements. These were reconciliated until sufficient agreement was reached. The grade of evidence was determined. These guidelines were based on the published literature up to June 2020. RESULTS: Hemorrhoids are normal structure... Mehr ...