Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome

Hemorrhoids are the most common benign disease of the anorectal region, with a high incidence and recurrence rate. Current research on the pathogenesis of hemorrhoids mainly focuses on non-genetic factors, and there is a lack of systematic research on genetic factors. A recent genome-wide associatio...

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Main Authors: Li Qing, Qian Haihua, Su Dan, Ren Donglin
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2022-08-01
Series:结直肠肛门外科
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Online Access:https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=378&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F
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author Li Qing
Qian Haihua
Su Dan
Ren Donglin
author_facet Li Qing
Qian Haihua
Su Dan
Ren Donglin
author_sort Li Qing
collection DOAJ
description Hemorrhoids are the most common benign disease of the anorectal region, with a high incidence and recurrence rate. Current research on the pathogenesis of hemorrhoids mainly focuses on non-genetic factors, and there is a lack of systematic research on genetic factors. A recent genome-wide association study has demonstrated for the first time that hemorrhoids are a partially hereditary disease and has identified related risk genes, revealing the potential comorbidity mechanism between hemorrhoids and obstructive defecation syndrome from a genetic perspective. Furthermore, previous studies have often regarded functional constipation as a risk factor for hemorrhoids, especially the type of constipation characterized by discoordination or evacuation disorders is more common in patients with hemorrhoids combined with functional constipation. Recent clinical studies by our team have also shown a significant correlation between obstructive defecation syndrome and the recurrence rate of hemorrhoids after surgery. This article reviews and summarizes the research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome from the perspectives of non-genetic and genetic factors, aiming to provide new insights for the study, clinical diagnosis, and management of the pathogenesis of both diseases.
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language zho
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publisher Editorial Office of Journal of Colorectal & Anal Surgery
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spelling doaj-art-48e0528d87de4fa482d98397d1cd731b2025-08-20T02:43:50ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-08-0128434835410.19668/j.cnki.issn1674-0491.2022.04.007Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndromeLi Qing0Qian Haihua1Su Dan2Ren Donglin3Department of Anorectal Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of Anorectal Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, ChinaDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510655, ChinaHemorrhoids are the most common benign disease of the anorectal region, with a high incidence and recurrence rate. Current research on the pathogenesis of hemorrhoids mainly focuses on non-genetic factors, and there is a lack of systematic research on genetic factors. A recent genome-wide association study has demonstrated for the first time that hemorrhoids are a partially hereditary disease and has identified related risk genes, revealing the potential comorbidity mechanism between hemorrhoids and obstructive defecation syndrome from a genetic perspective. Furthermore, previous studies have often regarded functional constipation as a risk factor for hemorrhoids, especially the type of constipation characterized by discoordination or evacuation disorders is more common in patients with hemorrhoids combined with functional constipation. Recent clinical studies by our team have also shown a significant correlation between obstructive defecation syndrome and the recurrence rate of hemorrhoids after surgery. This article reviews and summarizes the research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome from the perspectives of non-genetic and genetic factors, aiming to provide new insights for the study, clinical diagnosis, and management of the pathogenesis of both diseases.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=378&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC4%E6%9C%9Fhemorrhoidsobstructive defecation syndromegenetic susceptibilitygenome-wide association studypathophysiology
spellingShingle Li Qing
Qian Haihua
Su Dan
Ren Donglin
Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
结直肠肛门外科
hemorrhoids
obstructive defecation syndrome
genetic susceptibility
genome-wide association study
pathophysiology
title Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
title_full Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
title_fullStr Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
title_full_unstemmed Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
title_short Research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
title_sort research progress on the comorbidity mechanism of hemorrhoids and obstructive defecation syndrome
topic hemorrhoids
obstructive defecation syndrome
genetic susceptibility
genome-wide association study
pathophysiology
url https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=378&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F
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AT qianhaihua researchprogressonthecomorbiditymechanismofhemorrhoidsandobstructivedefecationsyndrome
AT sudan researchprogressonthecomorbiditymechanismofhemorrhoidsandobstructivedefecationsyndrome
AT rendonglin researchprogressonthecomorbiditymechanismofhemorrhoidsandobstructivedefecationsyndrome