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Background: Transanal hemorrhoidal dearterialization (THD), a new approach for patients who would otherwise require an operative hemorrhoidectomy, accomplishes hemorrhoidal symptom relief with far less postoperative pain than an operative hemorrhoidectomy.Methods: THD, an ambulatory procedure, employs a specially designed proctoscope coupled with a Doppler transducer to allow identification and suture...
In some patients with Crohn’s disease the anorectal complications are the major cause of symptoms and morbidity. Anorectal Crohn’s disease may be present in patients with intestinal Crohn’s disease, may be the initial manifestation of the disease, or rarely occurs without involvement of Crohn’s disease elsewhere in the intestinal tract. The pathogenesis of these anorectal complications remains to...
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