Crohn's may not contraindicate haemorrhoidectomy: study

US researchers say that better management with biologics may make treatment more feasible

Excisional haemorrhoidectomy may be considered in patients with Crohn's disease who have failed nonoperative haemorrhoidal therapy, a small study suggests.

The procedure is the gold standard for advanced medically refractory haemorrhoids, but it is seldom used in patients with Crohn's disease due to reports of an increased risk of complications.

One review found a 17% complication rate in patients with Crohn's disease versus 5.5% in patients with ulcerative colitis.

Dr Amy Lightner, of Cleveland Clinic, Ohio, US, and colleagues identified 36 patients with Crohn