Taiwan society of colon and rectal surgeons' consensus on the management of hemorrhoidal disease.

Tsung-Kun Chang, Tao-Wei Ke, Pao-Shiu Hsieh, Shih-Ching Chang, Wan Hsiang Hu, Ching-Wen Huang, Feng-Fan Chiang, Hsiang-Lin Tsai, Jin-Tung Liang, Chien-Kuo Liu, Jaw-Yuan Wang

Journal: International journal of colorectal disease 2025;40(1):224

PMID: 41162746

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Abstract

BACKGROUND

Establishing statements backed by strong scientific evidence with the intention of standardizing and guiding Hemorrhoidal Disease (HD) diagnosis and treatment in both the general population and in specific patient groups is the aim of this consensus.

METHODS

A consensus panel of 11 surgical specialists from the Taiwan Society of Colon and Rectal Surgeons was convened from July 2023 to October 2024. Using a modified Delphi methodology, the panel addressed the diagnosis, treatment, prevention, and special situations of HD. Experts responded to a pre-meeting survey, and a literature search of English-language studies on clinical judgment, pharmacologic treatments, and surgical interventions was conducted. Draft statements were developed, discussed, and refined during the first meeting in July 2023. In April 2024, the panel reviewed updated studies, finalized recommendations, and voted anonymously. An online meeting in October 2024 validated and approved the recommendations, which were graded using the GRADE system.

RESULTS

A total of 9 consensus statements have been developed covering the diagnosis and management of HD. The general principle of this consensus statement is to follow most international guidelines. To tailor the local clinical practice, we also discussed the alternative treatment strategy for sclerotherapy, the use of traditional herbs/medicines, and the consideration of CRC screening test.

CONCLUSIONS

These suggestions may represent a positive start toward recognized guidelines for improved hemorrhoidal disease treatment for all Taiwan healthcare professionals. As the first point of contact with patients, general practitioners, family medicine physicians, young surgeons, and pharmacists will find them to be quite valuable.

Address: Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.; Department of Surgery, Faculty of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.; Division of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung, 40402, Taiwan.; Division of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital-Linkou, Taoyuan, 33305, Taiwan.; Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.; Division of Colorectal Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.; Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.; Division of Colorectal Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, 407219, Taiwan.; Department of Food and Nutrition, Providence University, Taichung, 433303, Taiwan.; Division of Colorectal Surgery, Department of Surgery, National Taiwan University Hospital and College of Medicine, Taipei, 100229, Taiwan.; Division of Colorectal Surgery, Department of Surgery, Mackey Memorial Hospital, Zhongshan, Taipei, 10449, Taiwan. [email protected].; Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan. [email protected].; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan. [email protected].; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan. [email protected].; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan. [email protected].

DOI: 10.1007/s00384-025-05010-9

MeSH Terms: Humans, Hemorrhoids, Taiwan, Consensus, Surgeons, Societies, Medical, Colorectal Surgery, Delphi Technique, Disease Management