Clinical Analysis of Anal Fissure and Anus Internal Pressure

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Anal canal pressure in anal fissure before and after internal sphincterotomy.

PURPOSE To assess whether the anal canal pressure is increased in patients with a chronic anal fissure and to examine the effects of internal anal sphincterotomy (IASy) on this pressure. MATERIALS AND METHOD Anorectal manometry was performed in 28 patients in whom an anal fissure had been diagnosed by means of physical examination and anuscopy. After IASy the manometric measurement was repeat...

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Presidential address. Lateral subcutaneous internal anal sphincterotomy for anal fissure.

AN ANAL FISSURE is ai1 ulcer of t h e a n a l canal which may extend from the anal verge to the dentate line. It is usually exquisitely painful, so the best treatment is that which is the most expedient but also provides negli#ble recurrence and minimal disability of anal function. Lateral subcutaneous internal anal sphincterotomy best fulfills these criteria and we strongly recommend it as the...

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Anal fissure.

Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical o...

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Sustained internal sphincter hypertonia in patients with chronic anal fissure.

PURPOSE This study was designed to determine whether functional variations of internal sphincter activity occur in order to differentiate between patients with anal fissures from those with hemorrhoids. METHODS Thirty patients with chronic anal fissure (median age, 28 years; 12 females), 22 patients with hemorrhoids (median age, 37 years; 7 females), and 33 control volunteers (median age, 48....

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ژورنال

عنوان ژورنال: Nippon Daicho Komonbyo Gakkai Zasshi

سال: 2011

ISSN: 1882-9619,0047-1801

DOI: 10.3862/jcoloproctology.64.127