Anal fissure
Authors:
Zuzana Adamová 1; Radim Slováček 1; Tomáš Bár 1; Jaroslav Sankot 1; Petr Vlček 2
Authors place of work:
Chirurgické oddělení, Vsetínská nemocnice a. s., Vsetín2I. chirurgická klinika Fakultní nemocnice u sv. Alžběty a LF MU, Brno
1
Published in the journal:
Čas. Lék. čes. 2015; 154: 11-13
Category:
Review Article
Summary
Anal fissure is one of the very frequent and painful proctologic diseases. Linear ulcer is situated in the anal canal and extending from the dentate line to the margin of the anus. Fissure can cause pain and bleeding. Diagnosis is made from the history and local inspection. Acute anal fissure should be treated conservatively – increased fibre and fluid intake, warm baths, local anaesthetic ointment, alternatively with nitrates and if all else fails by botulinum toxin. Treatment of chronic fissure will start conservatively but operative options are necessary in many cases.
Keywords:
anal fissure – conservative therapy – lateral sfincterotomy
Zdroje
1. Škába R. Anální fisura u dětí. Pediatrie pro Praxi 2008; 9(2): 119–120.
2. Altomare DF, Binda GA, Canuti S, et al. The management of patients with primary chronic anal fissure: a position paper. Tech Coloproctol 2011; 15(2): 135–141.
3. Anděl P, Škrovina M, Ducháč V. Základy praktické proktologie. Praha: Galén 2012.
4. Madalinski MH. Identifying the best therapy for chronic anal fissure. World J Gastrointest Pharmacol Ther 2011; 2(2): 9–16.
5. Sauper T, Lanthaler M, Biebl M, et al. Impaired anal sphincter function in professional cyclists. Wien Klin Wochenschr 2007; 119(5–6): 170–173.
6. Gupta PJ. Consumption of red-hot chili pepper increases symptoms in patients with acute anal fissures. A prospective, randomized, placebo-controlled, double blind, crossover trial. Arq Gastroenterol 2008; 45(2): 124–127.
7. Zaghiyan KN, Fleshner P. Anal fissure. Clin Colon Rectal Surg 2011; 24(1): 22–30.
8. Jensen SL. Treatment of first episodes of acute anal fissure: prospective randomised study of lignocaine ointment versus hydrocortisone ointment or warm sitz baths plus bran. Br Med J (Clin Res Ed) 1986; 292(6529): 1167–1169.
9. Jensen SL. Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence. J R Soc Med 1987; 80(5): 296–298.
10. Horák L, Skřička T, Šlauf P, Örhalmi J, et al. Praktická proktologie. Praha: Grada Publishing 2013.
11. Berry SM, Barish CF, Bhandari R, et al. Nitroglycerin 0.4% ointment vs placebo in the treatment of pain resulting from chronic anal fissure: a randomized, double-blind, placebo-controlled study. BMC Gastroenterol 2013; 13(1): 106.
12. Lukáš M, Bortlík M. Léčba bolesti v gastroenterologii. Klin Farmakol Farm 2004; 18: 160–164.
13. McDonald P, Driscoll AM, Nicholls RJ. The anal dilator in the conservative management of acute anal fissures. Br J Surg 1983; 70(1): 25–26.
14. Isbister WH, Prasad J. Fissure in ano. Aust N Z J Surg 1995; 65(2): 107–108.
15. Renzi A, Izzo D, Di Sarno G, et al. Clinical, manometric, and ultrasonographic results of pneumatic balloon dilatation vs. lateral internal sphincterotomy for chronic anal fissure: a prospective, randomized, controlled trial. Dis Colon Rectum 2008; 51(1): 121–127.
16. Ram E, Vishne T, Lerner I, Dreznik Z. Anal dilatation versus left lateral sphincterotomy for chronic anal fissure: a prospective randomized study. Tech Coloproctol 2007. Epub.
17. Nelson RL, Chattopadhyay A, Brooks W, et al. Operative procedures for fissure in ano.Cochrane Database Syst Rev 2011; (11): CD002199.
18. Zaghiyan KN, Fleshner P. Anal fissure. Clin Colon Rectal Surg 2011; 24(1): 22–30.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
Journal of Czech Physicians
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Anal fissure
- Subcutaneous rehydration in patients in terminal phase of dementia
- Indoleamine 2,3-dioxygenase in oncology and psychiatry
- With children against obesity