Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Journal of Education, Health and Sport

Blood supply of the anal canal in patients with chronic hemorrhoids
  • Home
  • /
  • Blood supply of the anal canal in patients with chronic hemorrhoids
  1. Home /
  2. Archives /
  3. Vol. 11 No. 4 (2021) /
  4. Research Articles

Blood supply of the anal canal in patients with chronic hemorrhoids

Authors

  • Serhii Sidoruk Ivano-Frankivsk National Medical University

DOI:

https://doi.org/10.12775/JEHS.2021.11.04.022

Keywords

chronic hemorrhoids, ultrasound examination, blood flow, anal canal

Abstract

The most important factors in the development of chronic haemorrhoids today are considered to be the combination of two factors (vascular and mechanical) that lead to the development of hemorrhoids. The underlying vascular factor is the vascular dysfunction, providing arterial blood flow through the arteries to the cavernous bodies and outflow through the cavernous veins, which leads to dilation of cavernous bodies and the formation of vascular malformations.

There were performed clinical examination and treatment of 140 patients with chronic hemorrhoids of stage III-IV according to Goligher. The features of arterial blood supply of the anal canal were evaluated by transrectal ultrasound examination.

It was found that there was no clear linear relationship between the number of anal arteries with increased blood flow and the number of hemorrhoidal nodes in the patient. Each node was supplied with blood from one or two arteries: the node placed at 11 o'clock had blood supply from the arteries visualized at 10 and 11 o'clock, the node at 3 o'clock - arteries at 3 and 5 o'clock, the node at 7 o'clock - arteries at 7 and 9 o'clock. The arteries were most frequently visualized at the first (89.4%), the third (93.3%), the seventh (88.8%) and the eleventh (93.4%) hours. With less frequency the hemodynamically significant arteries were visualized at the fifth (65.0%), the ninth (62.8%) and the tenth (66.7%) hours. The arteries that were suppliing blood hemorrhoidal vessels were located in the internal sphincter at a depth of 5 to 10 mm. In the area of 3, 7 and 11 hours, they overlapped with a mosaic pattern that corresponded to the localization of the cavernous body and resembled an arteriovenous fistula according to the СDS.

References

Sheng-Long Li, Fang-Yan Jing, Li-Li Ma, Li-Li Guo, Feng Na, Sheng-Li An, Yan Ye, Jun-Ming Yang, Ming Bao, Dong Kang, Xiao-Lan Sun, Yong-Jian Deng Myofibrotic malformation vessels: unique angiodysplasia toward the progression of hemorrhoidal disease. Drug Des Devel Ther. 2015; 9: 4649–4656.

Zoulamoglou M, Kaklamanos I, Zarokosta M, Flessas I, Bonatsos V, Piperos T, Theodoropoulos P, Barla G, Stathopoulou I, Mariolis-Sapsakos T. The ligament of Parks as a key anatomical structure for safer hemorrhoidectomy: Anatomic study and a simple surgical note. Ann Med Surg (Lond). 2017 Oct 16;24:31-33.

Fox A, Tietze PH, Ramakrishnan K Anorectal conditions: hemorrhoids. FP Essent. 2014 Apr;419:11-9.

Jacobs D. Hemorrhoids // N Engl J. M. – 2014. – Vol. 371. – P. 944-951.

Miyamoto H Minimally Invasive Treatment of Advanced Hemorrhoids and Ultrasound Imaging of Hemorrhoids // RRJMHS/ Volume 5 / Issue 1 / March, 2016 / 22-28

Downloads

  • PDF

Published

2021-04-30

How to Cite

1.
SIDORUK, Serhii. Blood supply of the anal canal in patients with chronic hemorrhoids. Journal of Education, Health and Sport. Online. 30 April 2021. Vol. 11, no. 4, pp. 217-221. [Accessed 5 December 2023]. DOI 10.12775/JEHS.2021.11.04.022.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 11 No. 4 (2021)

Section

Research Articles

License

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

Stats

Number of views and downloads: 320
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

chronic hemorrhoids, ultrasound examination, blood flow, anal canal
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Karmelitański Instytut Duchowości w Krakowie
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop