The Evaluation and Treatment of Hemorrhoids

A Guide for the Gastroenterologist

Robert A. Ganz


Clin Gastroenterol Hepatol. 2013;11(6):593-603. 

In This Article


My troubles are all behind me.
Hall of Famer George Brett, on returning to a World Series game after receiving treatment for a painful, thrombosed external hemorrhoid

Symptomatic hemorrhoidal disease is an age-old problem commonly encountered in our society, and patients often present to the gastroenterologist for evaluation and care. This disease is well within the purview of gastroenterology, and the treatment of hemorrhoids and other anorectal disorders should be incorporated into the typical GI practice and added to the GI training curriculum. There are a number of medical and nonsurgical approaches to offer, and information was presented to aid in the assessment and definitive care of these patients.