“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000400398 |
Resumo: | ABSTRACT Hemorrhoids are the most common anorectal disorders with a prevalence of 39% in general population. Hemorrhoids are generally classified on the basis of their location and degree of prolapse. Goligher’s classification does not describe the number of hemorrhoidal columns involved and does not give much consideration to the amount of blood loss. To describe the hemorrhoidal disease more vividly, we devised the “PNR-Bleed” (or PNR-Booking) classification system. We tried to classify the hemorrhoids based on the four main characteristics of the hemorrhoidal disease i.e. the degree of hemorrhoidal Prolapse (P), Number (N) of the primary hemorrhoidal columns involved, Relation (R) of the hemorrhoidal tissue to dentate line and the amount of Bleeding (B) from it. All the four components in this classification system are graded into five grades ranging from 1 to 5. The peculiarity of this new classification system is that it allows more detailed documentation of the hemorrhoids in a particular patient and conveys more explicit meaning and information about the hemorrhoids for future references. Based on this ‘PNR-Bleed’ classification, we are introducing another concept of scoring the severity of hemorrhoids and referred it as the Hemorrhoid Severity Score (HSS). Hemorrhoid Severity Score (HSS) is the total score obtained by the sum of the numerical grades of all four characteristics of hemorrhoids in “PNR-Bleed” classification. This new “PNR-Bleed” system of classifying the hemorrhoids and calculation of HSS seems to be more comprehensive, detailed, more objective and easily reproducible. |
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“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoidsHemorrhoidsClassificationPNR-BleedGoligherProlapseHemorrhoid Severity ScoreABSTRACT Hemorrhoids are the most common anorectal disorders with a prevalence of 39% in general population. Hemorrhoids are generally classified on the basis of their location and degree of prolapse. Goligher’s classification does not describe the number of hemorrhoidal columns involved and does not give much consideration to the amount of blood loss. To describe the hemorrhoidal disease more vividly, we devised the “PNR-Bleed” (or PNR-Booking) classification system. We tried to classify the hemorrhoids based on the four main characteristics of the hemorrhoidal disease i.e. the degree of hemorrhoidal Prolapse (P), Number (N) of the primary hemorrhoidal columns involved, Relation (R) of the hemorrhoidal tissue to dentate line and the amount of Bleeding (B) from it. All the four components in this classification system are graded into five grades ranging from 1 to 5. The peculiarity of this new classification system is that it allows more detailed documentation of the hemorrhoids in a particular patient and conveys more explicit meaning and information about the hemorrhoids for future references. Based on this ‘PNR-Bleed’ classification, we are introducing another concept of scoring the severity of hemorrhoids and referred it as the Hemorrhoid Severity Score (HSS). Hemorrhoid Severity Score (HSS) is the total score obtained by the sum of the numerical grades of all four characteristics of hemorrhoids in “PNR-Bleed” classification. This new “PNR-Bleed” system of classifying the hemorrhoids and calculation of HSS seems to be more comprehensive, detailed, more objective and easily reproducible.Sociedade Brasileira de Coloproctologia2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000400398Journal of Coloproctology (Rio de Janeiro) v.40 n.4 2020reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2020.05.012info:eu-repo/semantics/openAccessKhan,Mudassir AhmadChowdri,Nisar A.Parray,Fazl Q.Wani,Rauf A.Mehraj,AsifBaba,ArshadLaway,Mushtaqeng2020-12-03T00:00:00Zoai:scielo:S2237-93632020000400398Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2020-12-03T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
title |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
spellingShingle |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids Khan,Mudassir Ahmad Hemorrhoids Classification PNR-Bleed Goligher Prolapse Hemorrhoid Severity Score |
title_short |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
title_full |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
title_fullStr |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
title_full_unstemmed |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
title_sort |
“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids |
author |
Khan,Mudassir Ahmad |
author_facet |
Khan,Mudassir Ahmad Chowdri,Nisar A. Parray,Fazl Q. Wani,Rauf A. Mehraj,Asif Baba,Arshad Laway,Mushtaq |
author_role |
author |
author2 |
Chowdri,Nisar A. Parray,Fazl Q. Wani,Rauf A. Mehraj,Asif Baba,Arshad Laway,Mushtaq |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Khan,Mudassir Ahmad Chowdri,Nisar A. Parray,Fazl Q. Wani,Rauf A. Mehraj,Asif Baba,Arshad Laway,Mushtaq |
dc.subject.por.fl_str_mv |
Hemorrhoids Classification PNR-Bleed Goligher Prolapse Hemorrhoid Severity Score |
topic |
Hemorrhoids Classification PNR-Bleed Goligher Prolapse Hemorrhoid Severity Score |
description |
ABSTRACT Hemorrhoids are the most common anorectal disorders with a prevalence of 39% in general population. Hemorrhoids are generally classified on the basis of their location and degree of prolapse. Goligher’s classification does not describe the number of hemorrhoidal columns involved and does not give much consideration to the amount of blood loss. To describe the hemorrhoidal disease more vividly, we devised the “PNR-Bleed” (or PNR-Booking) classification system. We tried to classify the hemorrhoids based on the four main characteristics of the hemorrhoidal disease i.e. the degree of hemorrhoidal Prolapse (P), Number (N) of the primary hemorrhoidal columns involved, Relation (R) of the hemorrhoidal tissue to dentate line and the amount of Bleeding (B) from it. All the four components in this classification system are graded into five grades ranging from 1 to 5. The peculiarity of this new classification system is that it allows more detailed documentation of the hemorrhoids in a particular patient and conveys more explicit meaning and information about the hemorrhoids for future references. Based on this ‘PNR-Bleed’ classification, we are introducing another concept of scoring the severity of hemorrhoids and referred it as the Hemorrhoid Severity Score (HSS). Hemorrhoid Severity Score (HSS) is the total score obtained by the sum of the numerical grades of all four characteristics of hemorrhoids in “PNR-Bleed” classification. This new “PNR-Bleed” system of classifying the hemorrhoids and calculation of HSS seems to be more comprehensive, detailed, more objective and easily reproducible. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000400398 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000400398 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2020.05.012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.40 n.4 2020 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
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1752126479129378816 |