“PNR-Bleed” classification and Hemorrhoid Severity Score-a novel attempt at classifying the hemorrhoids

Detalhes bibliográficos
Autor(a) principal: Khan,Mudassir Ahmad
Data de Publicação: 2020
Outros Autores: Chowdri,Nisar A., Parray,Fazl Q., Wani,Rauf A., Mehraj,Asif, Baba,Arshad, Laway,Mushtaq
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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spelling “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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