ABSTRACT
Special diseases with hemorrhoid hemorrhage are intractable cases in clinical practice. Surgery may result in serious trauma and high risk, such as higher morbidity of postoperative complication, delayed hospital stay, and even death. These patients usually underwent conservative therapy or injection therapy. In 2017, our Professional Committee standardized the procedure of Shaobei injection and established the clinical guideline, but still lacked guidance for special diseases with hemorrhoid hemorrhage. In view of this, based on current medical conditions, combined with years of clinical practice, after repeated discussions, comprehensive multidisciplinary perspectives on patients with special diseases such as coagulopathy, hypertension, diabetes, portal hypertension, renal dysfunction, immunodeficiency, and antithrombotic therapy, the experts of this guidelinewriting committee formulate the corresponding clinical management strategies, mainly emphasizing on preoperative management of underlying disease, choice of anesthesia methods, and precautions during surgery.