{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:30:23Z","timestamp":1789655423218,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T00:00:00Z","timestamp":1579651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this work was to perform a long\u2010term evaluation of a randomized trial focusing on functional aspects after excisional haemorrhoidectomy with a minimum follow\u2010up of 9\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A questionnaire\u2010based study including patients operated on for haemorrhoids in Sweden between 1999 and 2003. A total of 225 patients were randomized to Milligan\u2019s or Ferguson\u2019s operation. Twenty\u2010six patients had died and 151 (76%) participated after a median follow\u2010up of 10.7\u00a0years (range 9.2\u201312.6 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010seven patients were in the Milligan group and 74 in the Ferguson group. Forty\u2010eight (32%) reported recurrence. Anal bleeding was reported in 80% at baseline but in 28% at long\u2010term follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). At baseline, 49% had spontaneous anal pain and 25% pain at defaecation. At follow\u2010up, these figures were 17% and 11%. At follow\u2010up, 19% described a sense of anal stenosis. At baseline, soiling was reported in 51% but in 20% at long\u2010term follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Nineteen per cent used pads preoperatively and 6% at follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). Straining at defaecation was reported by 35% at baseline. At follow\u2010up, this figure was 25% (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.055).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Symptoms associated with haemorrhoids were reduced at long\u2010term follow\u2010up. The most common problems were perceived recurrence and a sense of anal stenosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14954","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T12:40:33Z","timestamp":1578487233000},"page":"824-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Long\u2010term functional results after excisional haemorrhoidectomy"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2409-6599","authenticated-orcid":false,"given":"J.\u2010P.","family":"Lehmann","sequence":"first","affiliation":[{"name":"Department of Surgery \u00d6stersunds Hospital \u00d6stersund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. \u00d6.","family":"Johansson","sequence":"additional","affiliation":[{"name":"Department of Surgery Falu Hospital Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Graf","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Akademiska Sjukhuset Uppsala Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1316-3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02987082"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236687"},{"key":"e_1_2_7_5_1","first-page":"122","article-title":"Conservative treatment for haemorrhoids","volume":"7","author":"Altomare DF","year":"2003","journal-title":"Tech Coloproctol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00359157590520S143"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02616713"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02859.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237240"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.01127.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02238242"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0794-6"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4103\/1117-1936.174842","article-title":"Open versus closed haemorrhoidectomy","volume":"11","author":"Uba AF","year":"2004","journal-title":"Niger Postgrad Med J"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5408"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750204"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.12.1395"},{"key":"e_1_2_7_17_1","first-page":"610","article-title":"A novel therapy for internal haemorrhoids: ligation of the haemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter","volume":"90","author":"Morinaga K","year":"1995","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-007-0376-4"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181af50f4"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5677"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01841.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-018-3046-2"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365529609009130"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01498.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-01936-9"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30584-0"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31803-7"},{"key":"e_1_2_7_28_1","first-page":"1","article-title":"Haemorrhoidectomy","volume":"5","author":"Parks AG","year":"1971","journal-title":"Adv Surg"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10298"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02251970"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.14954","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14954","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.14954","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14954","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T18:39:05Z","timestamp":1693939145000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.14954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,22]]},"references-count":29,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/codi.14954"],"URL":"https:\/\/doi.org\/10.1111\/codi.14954","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,22]]},"assertion":[{"value":"2019-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}