- Patients with Crohn’s disease (CD) may safely undergo surgical treatment for haemorrhoid after nonoperative approaches fail to help them.
Why this matters
- Most physicians avoid an excisional haemorrhoidectomy in patients with CD because of concerns about impaired wound healing leading to the need for proctectomy.
- Researchers analysed the health records of patients with CD undergoing excisional haemorrhoidectomy for symptomatic haemorrhoids (n=36; women, 56%; median age, 49 [range, 21-77] years), comparing patient demographics, CD-related clinical characteristics, postoperative complications, and the need for further therapy or surgical intervention.
- Funding: None disclosed.
- Most common symptoms included pain (44%), bleeding (33%), and prolapse (22%).
- 16 (44%) patients had nonoperative therapy before surgery.
- 24 (67%) patients had other perianal diseases.
- 4 (11%) patients developed post-haemorrhoidectomy complications, including stricture, perianal abscess, nonhealing wound, and haemorrhoidal recurrence (median follow-up, 31.5 [range, 1-255] months).
- The study was retrospective with a small number of patients, precluding definitive conclusions about outcomes based on different medical regimens.