Nutritional Support After Surgery for Proctologic Diseases

  • Arcangelo Picciariello
  • Maria Teresa Rotelli


Haemorrhoidal disease is the most common anorectal disorder, affecting 5–10% of the population.


  1. 1.
    Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol. 2012;18(17):2009–17.CrossRefGoogle Scholar
  2. 2.
    Gerjy R, Lindhoff-Larson A, Nystrom PO. Grade of prolapse and symptoms of haemorrhoids are poorly correlated: result of a classification algorithm in 270 patients. Color Dis. 2008;10(7):694–700.CrossRefGoogle Scholar
  3. 3.
    Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, Mills E, Heels-Ansdell D, Johanson JF, et al. Meta-analysis of flavonoids for the treatment of haemorrhoids. Br J Surg. 2006;93(8):909–20.CrossRefGoogle Scholar
  4. 4.
    Iyer VS, Shrier I, Gordon PH. Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum. 2004;47(8):1364–70.CrossRefGoogle Scholar
  5. 5.
    Altomare DF, Picciariello A, Pecorella G, Milito G, Naldini G, Amato A, et al. Surgical management of haemorrhoids: an Italian survey of over 32 000 patients over 17 years. Color Dis. 2018;Google Scholar
  6. 6.
    Ratto C, Campenni P, Papeo F, Donisi L, Litta F, Parello A. Correction to: transanal hemorrhoidal dearterialization (THD) for hemorrhoidal disease: a single-center study on 1000 consecutive cases and a review of the literature. Tech Coloproctol. 2018;22(3):253.CrossRefGoogle Scholar
  7. 7.
    Avital S, Itah R, Skornick Y, Greenberg R. Outcome of stapled hemorrhoidopexy versus doppler-guided hemorrhoidal artery ligation for grade III hemorrhoids. Tech Coloproctol. 2011;15(3):267–71.CrossRefGoogle Scholar
  8. 8.
    Moult HP, Aubert M, De Parades V. Classical treatment of hemorrhoids. J Visc Surg. 2015;152(2 Suppl):S3–9.CrossRefGoogle Scholar
  9. 9.
    Bhatti MI, Sajid MS, Baig MK. Milligan-Morgan (open) versus Ferguson haemorrhoidectomy (closed): a systematic review and meta-analysis of published randomized, controlled trials. World J Surg. 2016;40(6):1509–19.CrossRefGoogle Scholar
  10. 10.
    Johanson JF, Sonnenberg A. Constipation is not a risk factor for hemorrhoids: a case-control study of potential etiological agents. Am J Gastroenterol. 1994;89(11):1981–6.PubMedGoogle Scholar
  11. 11.
    Rakinic J, Poola VP. Hemorrhoids and fistulas: new solutions to old problems. Curr Probl Surg. 2014;51(3):98–137.CrossRefGoogle Scholar
  12. 12.
    Gasbarrini G, Candelli M, Graziosetto RG, Coccheri S, Di Iorio F, Nappi G. Evaluation of thermal water in patients with functional dyspepsia and irritable bowel syndrome accompanying constipation. World J Gastroenterol. 2006;12(16):2556–62.CrossRefGoogle Scholar
  13. 13.
    Anderson JW, Baird P, Davis RH Jr, Ferreri S, Knudtson M, Koraym A, et al. Health benefits of dietary fiber. Nutr Rev. 2009;67(4):188–205.CrossRefGoogle Scholar
  14. 14.
    Roberfroid MB. Introducing inulin-type fructans. Br J Nutr. 2005;93(Suppl 1):S13–25.CrossRefGoogle Scholar
  15. 15.
    Shoaib M, Shehzad A, Omar M, Rakha A, Raza H, Sharif HR, et al. Inulin: properties, health benefits and food applications. Carbohydr Polym. 2016;147:444–54.CrossRefGoogle Scholar
  16. 16.
    Prado MR, Blandon LM, Vandenberghe LP, Rodrigues C, Castro GR, Thomaz-Soccol V, et al. Milk kefir: composition, microbial cultures, biological activities, and related products. Front Microbiol. 2015;6:1177.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Sakai T, Kubota H, Gawad A, Gheyle L, Ramael S, Oishi K. Effect of fermented milk containing lactobacillus casei strain Shirota on constipation-related symptoms and haemorrhoids in women during puerperium. Benef Microbes. 2015;6(3):253–62.CrossRefGoogle Scholar
  18. 18.
    Wannamethee SG, Whincup PH, Thomas MC, Sattar N. Associations between dietary fiber and inflammation, hepatic function, and risk of type 2 diabetes in older men: potential mechanisms for the benefits of fiber on diabetes risk. Diabetes Care. 2009;32(10):1823–5.CrossRefGoogle Scholar
  19. 19.
    Sang S, Chu Y. Whole grain oats, more than just a fiber: role of unique phytochemicals. Mol Nutr Food Res. 2017;61(7) Scholar
  20. 20.
    Filingeri V, Buonomo O, Sforza D. Use of flavonoids for the treatment of symptoms after hemorrhoidectomy with radiofrequency scalpel. Eur Rev Med Pharmacol Sci. 2014;18(5):612–6.PubMedGoogle Scholar
  21. 21.
    Panche AN, Diwan AD, Chandra SR. Flavonoids: an overview. J Nutr Sci. 2016;5:e47.CrossRefGoogle Scholar
  22. 22.
    Quain AM, Khardori NM. Nutrition in wound care management: a comprehensive overview. Wounds. 2015;27(12):327–35.PubMedGoogle Scholar
  23. 23.
    Altomare DF, Rinaldi M, La Torre F, Scardigno D, Roveran A, Canuti S, et al. Red hot chili pepper and hemorrhoids: the explosion of a myth: results of a prospective, randomized, placebo-controlled, crossover trial. Dis Colon Rectum. 2006;49(7):1018–23.CrossRefGoogle Scholar
  24. 24.
    Gupta PJ. Consumption of red-hot chili pepper increases symptoms in patients with acute anal fissures. A prospective, randomized, placebo-controlled, double blind, crossover trial. Arq Gastroenterol. 2008;45(2):124–7.CrossRefGoogle Scholar
  25. 25.
    Xu XY, Meng X, Li S, Gan RY, Li Y, Li HB. Bioactivity, health benefits, and related molecular mechanisms of curcumin: current progress, challenges, and perspectives. Nutrients. 2018;10(10):E1553.CrossRefGoogle Scholar
  26. 26.
    Parkinson L, Keast R. Oleocanthal, a phenolic derived from virgin olive oil: a review of the beneficial effects on inflammatory disease. Int J Mol Sci. 2014;15(7):12323–34.CrossRefGoogle Scholar
  27. 27.
    Sielezneff I, Antoine K, Lecuyer J, Saisse J, Thirion X, Sarles JC, et al. Is there a correlation between dietary habits and hemorrhoidal disease? Presse Med. 1998;27(11):513–7.PubMedGoogle Scholar
  28. 28.
    Andrews CN, Storr M. The pathophysiology of chronic constipation. Can J Gastroenterol. 2011;25(Suppl B):16B–21B.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Arcangelo Picciariello
    • 1
  • Maria Teresa Rotelli
    • 1
  1. 1.Department of Emergency and Organ TransplantationUniversity of BariBariItaly

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