Department of Surgery, Bakhsh Hospital, Jeddah, Saudi Arabia.
Department of General, Laproscopic and Paediatric Surgeon, Olaya Medical Center (Omc), Riyadh, Saudi Arabia.
Hosp Pract (1995). 2022 Apr;50(2):104-109. doi: 10.1080/21548331.2022.2042150. Epub 2022 Feb 23.
Several techniques were developed for managing hemorrhoidal disease, but their use in clinical practice and the general management of the condition seems highly variable in Saudi Arabia.
To develop consensus recommendations that ensure the best possible diagnosis and treatment of hemorrhoidal disease in Saudi Arabia, the consensus panel consisted of experts in surgery in Saudi Arabia who met from December 2017 to September 2018.
The discussions focused on the need: to set up a proctology society in Saudi Arabia to assess the prevalence of hemorrhoidal disease and to regulate the role of health-care professionals (HCPs) in the management of the disease; to initiate guidelines to ensure proper diagnosis (considering symptoms, medical history, and physical/clinical examination) and treatment (topical creams and suppositories should be limited as no strong evidence supports their efficacy); to educate patients on diet and lifestyle modifications using education materials and social media during and after the treatment (regular physical activity, drinking enough fluids, regular meal time with food rich in fibers, and regular bowel habit with non-straining defecation); to refer patients to a general/colorectal surgeon when needed; and to teach junior surgeons the best use of surgical techniques.
These recommendations can be a step forward toward a recognized guidance for all HCPs in Saudi Arabia for a better management of hemorrhoidal disease. They will be of a great value for general practitioners, family medicine doctors, junior surgeons, and pharmacists who are the gate keepers and first contact with patients.
有几种技术被开发出来用于治疗痔疮疾病，但在沙特阿拉伯，它们在临床实践中的应用和疾病的总体管理似乎差异很大。
为了确保在沙特阿拉伯对痔疮疾病进行尽可能最佳的诊断和治疗，共识小组由沙特阿拉伯的外科专家组成，他们于 2017 年 12 月至 2018 年 9 月期间开会。
讨论的重点是需要：在沙特阿拉伯成立一个肛肠病学会，以评估痔疮疾病的流行情况，并规范医疗保健专业人员（HCPs）在疾病管理中的作用；制定指南以确保正确诊断（考虑症状、病史和体格/临床检查）和治疗（应限制使用局部乳膏和栓剂，因为没有强有力的证据支持其疗效）；使用教育材料和社交媒体在治疗期间和之后向患者宣传饮食和生活方式的改变（定期进行体育锻炼、饮用足够的液体、定时用餐且食物富含纤维、养成规律的排便习惯且避免用力排便）；根据需要将患者转介给普通/结直肠外科医生；并教导初级外科医生如何最好地使用手术技术。
这些建议可以作为朝着为沙特阿拉伯所有 HCPs 制定公认的痔疮疾病管理指南迈出的一步。对于全科医生、家庭医生、初级外科医生和药剂师来说，这些建议具有重要价值，他们是与患者的第一道防线和首次接触者。
