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Assessment of venous leg symptoms in patients with hemorrhoidal disease (VEIN-HEMORRHOID study)

Date

2021

Author

Cuglan, Bilal
Ozturk, Selcuk
Ozcan, Fulya
Atmaca, Hasan
Ensaroglu, Fatih
Sacikara, Alparslan
Yetkin, Ertan

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Citation

Cuglan, B., Ozturk, S., Ozcan, F., Atmaca, H., Ensaroğlu, F., Saçıkara, A., & Yetkin, E. (2021). Assessment of venous leg symptoms in patients with hemorrhoidal disease (VEIN-HEMORRHOID study). Phlebology, 2683555211030734. Advance online publication. https://doi.org/10.1177/02683555211030734

Abstract

Background: Coexistence of dilating venous diseases in different vascular territories has raised the idea that they have similar vascular wall abnormality in their evolutionary process. Accordingly, we aimed to evaluate venous leg symptoms in patients with hemorrhoidal disease (HD) by means of VEINES-Sym questionnaire. Materials and methods: The study involved 249 consecutive patients who underwent colonoscopy and met the inclusion criteria. Presence and grading of HD were made according to Goligher's classification. All patients were examined for the existing of varicose vein and classified in respect of CEAP classification. All participants were requested to answer the VEINES-Sym questionnaire. Results: There was not statistically significant differences between the patients without HD (grade 0 or I) and with HD (Grade II or III) in respect to clinical characteristics except female predominance in hemorrhoid group (p = 0.07). Scores of heavy legs, swelling, burning sensation, restless leg, throbbing, tingling, and total VEINES score were significantly lower (ie: worse) in hemorrhoid group. Logistic regression analysis revealed that female gender and total VEINES score were independently associated with HD (OR: 2.03, 95% CI: 1.17-3.52, p = 0.01; OR: 0.96, 95% CI: 0.92-0.99, p = 0.02, respectively). Among all venous leg symptoms, severity of heavy legs, night cramps, swelling and aching were significantly correlated with the grades of HD. Conclusion: We have shown significant association between the HD and venous leg symptoms reflected by total VEINES score and significant correlation between the HD grade and venous leg symptoms severity including heavy legs, swelling, night cramps and aching legs.

Source

Phlebology.

URI

https://doi.org/10.1177/02683555211030734
https://hdl.handle.net/20.500.12713/2045

Collections

  • Makale Koleksiyonu [149]
  • PubMed İndeksli Yayınlar Koleksiyonu [922]
  • Scopus İndeksli Yayınlar Koleksiyonu [1424]
  • WoS İndeksli Yayınlar Koleksiyonu [1485]



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