External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors.

Autor: Yildiz T; Turan Yildiz Department of Pediatric Surgery, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey., Aydin DB; Dilek Bingol Aydin Department of Pediatric, Sakarya University Education and Research Hospital, Sakarya, Turkey., Ilce Z; Zekeriya Ilce Department of Pediatric Surgery, Sakarya University School Medicine, Sakarya, Turkey., Yucak A; Aysel Yucak Department of Pediatric Surgery, Sakarya University School Medicine, Sakarya, Turkey., Karaaslan E; Erol Karaaslan Department of Anestesiology and Reanimation, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
Jazyk: angličtina
Zdroj: Pakistan journal of medical sciences [Pak J Med Sci] 2019; Vol. 35 (3), pp. 696-700.
DOI: 10.12669/pjms.35.3.442
Abstrakt: Objective: Hemorrhoidal disease (HD), though mostly seen in adults, has recently emerged as a common problem among children. However, the diagnosis and treatment of HD in children is mostly based on the data obtained in adult studies. In this study, we aimed to evaluate risk factors, diagnostic and treatment modalities in the children diagnosed with external HD.
Methods: The study was conducted at Sakarya University Medical School Pediatric Surgery Department between January 2012 and July 2018. We reviewed children who were diagnosed as having HD at Pediatric Surgery clinic. Age, gender, presenting symptoms, physical examination findings, risk factors, and treatment outcomes were evaluated for each patient.
Results: The study included 56 patients with a mean age of 140.8±45.2 months. The patients comprised 48 (85.7%) boys and 8 (14.3%) girls. Constipation and a positive family history were the most common risk factor (n=33; 58.9%, n=29; 51.8%, respectively). Conservative treatment was performed in 53 (94.6%) patients. Recurrence was observed in 5 (8.9%) and skin tag was detected in 6 (10.7%) patients.
Conclusions: External HD mostly occurs in boys in their second decade of life. Positive family history and constipation were the most common risk factors in our patients. Conservative treatment is sufficient for the management of external HD in children because of its low recurrence rates.
Competing Interests: Conflicts of Interest: None
Databáze: MEDLINE
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