Background and objectives: Anal fissure is a painful wound in the anoderm and distal to dentate line, the chronic fissure leads to hypertrophy and fibrosis. In this study, we compared partial and total sphincterotomy in patients with chronic anal fissure. Methods: In this comparative cohort, 100 patients (52 female and 48 male )mean age 43.34 ± 15.28 year...

Objective The aim is to compare complications and long-term outcome of two treatment modalities chronic anal fissure: chemical sphincterotomy by glyceryl trinitrate (GTN) cream lateral internal sphincterotomy. Background Treatment fissure achieved the reduction in tone sphincter either chemically or surgically. Patients methods In period from November 2013 October 2015, all patients who were ad...

BACKGROUND AND STUDY AIMS Sphincter of Oddi manometry is considered to be the gold standard for diagnosing sphincter of Oddi dysfunction (SOD). Elevated basal sphincter pressures are found in about half of the patients with findings consistent with biliary type II SOD, and most of these patients will symptomatically improve after endoscopic sphincterotomy. Since manometric sphincter evaluation ...

AIM To evaluate the risk of immediate and delayed bleeding following sphincterotomy procedure. METHODS This retrospective cohort study was conducted with all patients who underwent endoscopic sphincterotomy during January 2006 to September 2015 at a tertiary academic center. Patients were grouped according to pre procedural usage of serotonin reuptake inhibitors (SRIs). Both groups were match...

BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...

Background and study aims  Management of post-sphincterotomy perforations is variable, with some patients managed conservatively and other requiring surgery. Fully-covered self-expanding metal stents (FCSEMs) have been used in the past, but data is limited. The aim of this study was to report the clinical characteristics and outcomes following placement of anchored FCSEMSs for the immediate man...

AIM precut sphincterotomy refers to a variety of endoscopic techniques that are used in order to access the bile duct when conventional methods of cannulation have failed. There are not significant data (such as efficacy, safety) about the use of different techniques of precutting at the same session. We have described our experience with combined precut sphincterotomy (CPS) and we have compare...

Background—Endoscopicretrogradecholangiopancreatography sphincterotomy is increasingly performed in younger patients undergoing laparoscopic cholecystectomy. However, the safety of endoscopic sphincterotomy in this age group, relative to that in older patients, is unknown. Aim—To determine whether the development of short term complications following endoscopic sphincterotomy is age related. Pa...

BACKGROUND/AIMS The reproducibility of sphincter of Oddi manometry (SOM) measurements and results of SOM after sphincterotomy has not been studied sufficiently. The aim of our study is to evaluate the reproducibility of SOM and completeness of sphincter ablation. METHODS The recently published Evaluating Predictors and Interventions in sphincter of Oddi dysfunction (EPISOD) study included 214...