Practice parameters for the management of hemorrhoids (revised 2010).

@article{Rivadeneira2011PracticePF,
  title={Practice parameters for the management of hemorrhoids (revised 2010).},
  author={David E. Rivadeneira and Scott R. Steele and Charles A. Ternent and Sri Harsha Chalasani and William D. Buie and Janice L Rafferty},
  journal={Diseases of the colon and rectum},
  year={2011},
  volume={54 9},
  pages={
          1059-64
        }
}
T he American Society of Colon and Rectal Surgeons is dedicated to assuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus. The Standards Committee is composed of Society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This Committee was created to lead international efforts in defining quality care for conditions related to the colon, rectum… 
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The use of fiber shows a consistent beneficial effect for relieving overall symptoms and bleeding in the treatment of symptomatic hemorrhoids, compatible with large treatment effects regarding prolapse, pain, itching, although the pooled analyses showed a tendency toward no-effect for these parametres.
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Transanal hemorrhoidal dearterialization appears to be a potential treatment option for second-degree and third-degree hemorrhoids and longer follow-up comparing it with other procedures used to treat hemorrhoids are needed to establish a possible role for this technique.
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Although the healing time is longer, the open technique is more advantageous with respect to shorter operating time, less discomfort in the early postoperative period, and lower morbidity rate.
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Tests of fiber show a consistent beneficial effect for symptoms and bleeding in the treatment of symptomatic hemorrhoids and are compatible with large treatment effects in prolapse, pain, and itching.
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Practice Parameter for the Detection of Colorectal Neoplasms: An Interim Report (Revised)
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A summary of the task force guidelines to serve as an interim updated practice parameter for colorectal cancer screening and two emerging technologies, including fecal DNA screening and CT colonography, are discussed at the end of this summary.
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