Çocuklarda Hemoroidler: Bir  Retrospektif Çalışma
Haemorrhoids in Children: A Retrospective Study
Yazar: Karavelioğlu, Afra; Senayli, Atilla; Köseoğlu, Burhan; Akın, Melih; Özgüner, İsmet
Dergi: Çağdaş Tıp Dergisi, Vol. 5 No. 2, 2015
Anahtar kelimeler: Haemorrhoids; Children

Purpose: After six-year follow-up period of paediatric haemorrhoid patients, authors have presented the collected data in this article to share views on how to treat haemorrhoid disease.Material/ Methods: Documents of patients were evaluated retrospectively. Patients with haemorrhoids were evaluated for gender, age, diagnosis year, and disease history, symptoms, physical examinations, laboratory, operations and follow-up periods.Results: Fourteen patients of the evaluated 9,958 patients had haemorrhoids. Thirteen patients were male and 1 female. Median age was 13 years. One patient had Henoch-Schönlein Purpura, 1 patient had constipation and 1 patient had pectus carinatum with kyphosis. Other patients had normal backgrounds. All patients had pain and fullness symptoms. Also, 1 patient had bleeding and 3 patients had swelling.  Physical examinations were normal other than haemorrhoidal swelling. For Henoch-Schonlein Purpura, pectus carinatum and kyphosis patients, there were typical examination findings. Only 2 abdominal ultrasonographies were performed as diagnostic examination. None of patients were operated. Two patients were not available for follow-up. After 4-year check-ups, 2 patients were lost to follow-up and 5 patients follow-ups were finished. Seven patients are still under control.Conclusions: We followed up one of the largest group for haemorrhoids in children. We performed laboratory examinations only for suspected hepatobiliary disorder. Patients did not have progressive illness during follow-up period. We believe that haemorrhoids disease in children can be followed up by routine control examinations, without detailed laboratory examinations.

Purpose: After six-year follow-up period of paediatric haemorrhoid patients, authors have presented the collected data in this article to share views on how to treat haemorrhoid disease.Material/ Methods: Documents of patients were evaluated retrospectively. Patients with haemorrhoids were evaluated for gender, age, diagnosis year, and disease history, symptoms, physical examinations, laboratory, operations and follow-up periods.Results: Fourteen patients of the evaluated 9,958 patients had haemorrhoids. Thirteen patients were male and 1 female. Median age was 13 years. One patient had Henoch-Schönlein Purpura, 1 patient had constipation and 1 patient had pectus carinatum with kyphosis. Other patients had normal backgrounds. All patients had pain and fullness symptoms. Also, 1 patient had bleeding and 3 patients had swelling.  Physical examinations were normal other than haemorrhoidal swelling. For Henoch-Schonlein Purpura, pectus carinatum and kyphosis patients, there were typical examination findings. Only 2 abdominal ultrasonographies were performed as diagnostic examination. None of patients were operated. Two patients were not available for follow-up. After 4-year check-ups, 2 patients were lost to follow-up and 5 patients follow-ups were finished. Seven patients are still under control.Conclusions: We followed up one of the largest group for haemorrhoids in children. We performed laboratory examinations only for suspected hepatobiliary disorder. Patients did not have progressive illness during follow-up period. We believe that haemorrhoids disease in children can be followed up by routine control examinations, without detailed laboratory examinations.