Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

Authors

  • Stephen Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia
  • Ruchika Departemen Bedah, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia
  • Roy Akur Pandapotan Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia
  • Donna Mesina Rosadini Pasaribu Departemen Mikrobiologi, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Kristen Krida Wacana, Jakarta, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v28i3.2347

Keywords:

hemoroid, micronized purified flavonoid fraction, obat plebotonik

Abstract

Hemoroid adalah suatu penyakit tidak menular yang terjadi di daerah anorektal. Hemoroid disebabkan oleh suatu aktivitas yang memicu pelebaran dan inflamasi pembuluh darah vena di plexus haemorrhoidalis yang terdapat di sekitar anus dan rektum.  Hemoroid diklasifikasikan dalam 4 tingkatan yaitu hemoroid kelas I, II, III, dan IV. Micronized Purified Flavonoid Fraction (MPFF) adalah suatu obat plebotonik yang kerap digunakan dalam pengobatan konservatif hemoroid kelas I dan II. Tinjauan Pustaka ini bertujuan untuk memahami peran MPFF dalam terapi pengobatan hemoroid kelas I dan II serta mengevaluasi efektivitasnya dalam menangani hemoroid secara menyeluruh. Tinjauan pustaka ini ditulis dengan metode menganalisis dan meninjau secara sistematis hasil kajian dari beberapa penelitian terhadap penggunaan MPFF dalam pengobatan hemoroid. Hasil penelitian yang melibatkan 1.952 pasien hemoroid secara acak menemukan bahwa MPFF efektif dalam meredakan gejala pada 1.489 (76,3%) pasien yang menderita hemoroid. Selain itu, ditemukan juga 68 (3,5%) pasien yang mengikuti pengobatan invasif (pembedahan) untuk menangani hemoroid kelas IV dan sebanyak 395 (20,2%) pasien dengan hemoroid kelas I – III  menjalani pengobatan konservatif campuran. Penelitian tersebut menunjukkan bahwa MPFF termasuk pengobatan konservatif yang cukup efektif untuk mengatasi hemoroid kelas I dan II, tetapi kurang berdampak untuk mengatasi tingkatan hemoroid yang lebih tinggi.

References

Hemorrhoids disease and treatment information [Internet]. Hemorrhoid Treatment Center of Florida. 2021 [cited 2021 Nov 23]. Available from: https://www.hdtreatment.com/

Sandler RS, Peery AF. Rethinking what we know about hemorrhoids. Clin Gastroenterol Hepatol. 2019;17(1):8-15.

Zheng T, Ellinghaus D, Juzenas S, Cossais F, Burmeister G, Mayr G, et al. Genome-wide analysis of 944 133 individuals provides insights into the etiology of haemorrhoidal disease. Gut. 2021;70(8):1538–49.

Margetis N. Pathophysiology of internal hemorrhoids. Ann Gastroenterol. 2019;32(3):264-72.

Lohsiriwat V. Treatment of hemorrhoids: a coloproctologist's view. World J Gastroenterol. 2015;21(31):9245-52.

Ng KS, Holzgang M, Young C. An updated and critical review of the pathogenesis, diagnosis, and management options for hemorrhoids in 2020. Ann Coloproctol. 2020;36(3):133.

Pradiantini KH, Dinata IG. Diagnosis dan penatalaksanaan hemoroid. Ganesha Medicine. 2021;1(1):38-47.

Ravindranath GG, Rahul BG. Prevalence and risk factors of hemorrhoids: a study in a semi-urban centre. Int Surg J. 2018;5(2):496-9.

Sheikh P, Régnier C, Goron F, Salmat G. The prevalence, characteristics and treatment of hemorrhoidal disease: results of an international web-based survey. J Comp Eff Res. 2020;9(17):1219-32.

Kibret AA, Oumer M, Moges AM. Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Plos one. 2021;16(4):2-3.

Dong-Lin R. The Coloproctology Society of Chinese Association of integrative medicine (CSCAIM) guidelines for the diagnosis and treatment of hemorrhoids in China. J Colorectal Anal Surg. 2020;26:519–33.

Zhihua L. New drug promises relief to patients with hemorrhoids [Internet]. Chinadaily.com.cn. 2020 [cited 2022 Mar 2]. Available from: https://www.chinadaily.com.cn/a/202011/09/WS5fa8bc76a31024ad0ba84273.html

Yao YS, Tang GJ, Lan TY. Characteristics of hemorrhoids patients in Taiwan: a descriptive analysis based on the national health insurance database. Fu-Jen Journal of Medicine. 2021;19(4):1–13.

Setiyaningsih R, Utami ED, Nugroho YA, Santosa A. Underwear innovation for hemorrhoids patient. Medisains. 2020;17(3):67-70.

Changazi SH, Bhatti S, Choudary A Sr, Rajput MNA, Iqbal Z, Ahmed QA. Calcium dobesilate versus flavonoids for the treatment of early hemorrhoidal disease: a randomized controlled trial. Cureus. 2020;12(8):e9845.

Xia W, Barazanchi AW, Coomarasamy C, Jin J, Maccormick AD, Sammour T, et al. Epidemiology of haemorrhoids and publicly funded excisional haemorrhoidectomies in New Zealand (2007–2016): a population‐based cross‐sectional study. Colorectal Dis. 2021;23(1):265-73.

Sun Z, Migaly J. Review of hemorrhoid disease: presentation and management. Clin Colon Rectal Surg. 2016;29(01):22-3.

Yamana T. Japanese practice guidelines for anal disorders I. Hemorrhoids. J Anus Rectum Colon. 2017;1(3):89-99.

De Marco S, Tiso D. Lifestyle and risk factors in hemorrhoidal disease. Front Surg. 2021;8:729166

Indrayani NN, Arnaya AA, Wiguna KK, Wiyasa IB. Diagnosa dan tata laksana pada hemoroid derajat IV: laporan kasus. Intisari Sains Medis. 2021;12(3):706–9.

Hemorrhoids [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. U.S. Department of Health and Human Services; [cited 2021 Nov 19]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/hemorrhoids

Davis BR, Lee-Kong SA, Migaly J, Feingold DL, Steele SR. The American society of colon and rectal surgeons clinical practice guidelines for the management of hemorrhoids. Dis Colon Rectum. 2018;61(3):284-92.

Hemorrhoids [Internet]. Johns Hopkins Medicine. [cited 2021 Nov 19]. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/hemorrhoids

Cousins S, Blencowe NS, Blazeby JM. What is an invasive procedure? A definition to inform study design, evidence synthesis and research tracking. BMJ Open. 2019;9(7):e028576.

Higuero T, Abramowitz L, Castinel A, Fathallah N, Hemery P, Duhoux CL, et al. Guidelines for the treatment of hemorrhoids. J Visc Surg. 2016;153(3):213-8.

Alsisy AA, Alkhateep YM, Salem IE. Comparative study between intrahemorrhoidal diode laser treatment and Milligan–Morgan hemorrhoidectomy. Menoufia Medical Journal. 2019;32(2):560.

Li KX, Diendéré G, Galanaud JP, Mahjoub N, Kahn SR. Micronized purified flavonoid fraction for the treatment of chronic venous insufficiency, with a focus on postthrombotic syndrome: a narrative review. Res Pract Thromb Haemost. 2021:e12527.

Martinez-Zapata MJ, Vernooij RW, Tuma SMU, Stein AT, Moreno RM, Vargas E, et al. Phlebotonics for venous insufficiency. Cochrane Database Syst Rev. 2016;4(4):CD003229.

Maggioli A. Chronic venous disorders: pharmacological and clinical aspects of micronized purified flavonoid fraction. Phlebolymphology. 2016;23(2):82-91.

Davidson K. Diosmin: benefits, dosage, side effects, and more [Internet]. Healthline. Healthline Media; 2020 [cited 2021 Nov 28]. Available from: https://www.healthline.com/nutrition/diosmin

Cazaubon M, Benigni JP, Steinbruch M, Jabbour V, Gouhier-Kodas C. Is there a difference in the clinical efficacy of diosmin and micronized purified flavonoid fraction for the treatment of chronic venous disorders: a review of available evidence. Vasc Health Risk Manag. 2021;17:591-600.

Godeberge P, Sheikh P, Lohsiriwat V, Jalife A, Shelygin Y. Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease. J Comp Eff Res. 2021;10(10):801-13.

Zagriadskiĭ EA, Bogomazov AM, Golovko EB. Conservative treatment of hemorrhoids: results of an observational multicenter study. Adv Ther. 2018;35(11):1979-92.

Sheikh P, Lohsiriwat V, Shelygin Y. Micronized purified flavonoid fraction in hemorrhoid disease: a systematic review and meta-analysis. Adv Ther. 2020;37(6):2792-812.

Agarwal N, Singh K, Sheikh P, Mittal K, Mathai V, Kumar A. The Association of colon & rectal surgeons of India (ACRSI) practice guidelines for the management of haemorrhoids. Indian J Surg. 2017;79(1):58-61.

Published

2022-09-01

How to Cite

Stephen, Ruchika, Pandapotan, R. A. ., & Pasaribu, D. M. R. (2022). Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II. Jurnal Kedokteran Meditek, 28(3), 355–361. https://doi.org/10.36452/jkdoktmeditek.v28i3.2347

Issue

Section

Tinjauan Pustaka