| Theme |
Gastrointestinal Complications in Dialysis Patients |
| Title |
Recto -- anal lesions (hemorrhoids etc.) in dialysis patients |
| Author |
Tetsuya Okuda |
Colo-proctology Center and Department of Medicine, Social Insurance Chuo General Hospital |
| Author |
Jun-ichi Iwadare |
Colo-proctology Center and Department of Medicine, Social Insurance Chuo General Hospital |
| Author |
Toshio Shinoda |
Division of Nephrology, Social Insurance Chuo General Hospital |
| [ Summary ] |
Anorectal complications, such as hemorrhoids, are common in hemodialysis patients due to constipation. Although many are conservatively treated and improve, an operative treatment is needed in some cases, where an extensive operation becomes necessary in cases of delayed diagnosis and treatment. Although rectal and anal cancers are in frequent complications in hemodialysis patients, it is difficult to differentiate them from hemorrhoids by their clinical features, because their features are similar to those of hemorrhoids. Accordingly, it is necessary for hemodialysis patients to be examined by a proctologist as early as possible for proper diagnosis and treatment, when they have recognized signs such as anal bleeding and/or anal pain. In hemodialysis patients, operations for anorectal lesions are performed as a safety measure for non-dialysis patients by arranging their dialysis schedule, and usage of adequate anticoagulative drugs, because it is usually performed electively. |