- Treatment of anal fissure: a survey of surgical practice in Australia and New Zealand. [Journal Article]
- CDColorectal Dis 2018 Nov 09
- CONCLUSIONS: While areas of consensus mostly agreed with guideline recommendations, there remain many areas of community equipoise some of which warrant further research. This article is protected by copyright. All rights reserved.
- The Role of Botox in Colorectal Disorders. [Review]
- CTCurr Treat Options Gastroenterol 2018 Nov 05
- To overview the current medical literature on the efficacy of botulism toxin treatment (BTX-A) for lower gastrointestinal disorders (GIT).
To overview the current medical literature on the efficacy of botulism toxin treatment (BTX-A) for lower gastrointestinal disorders (GIT).
- [Definition, epidemiology and risk factors of obstetric anal sphincter injuries: CNGOF Perineal Prevention and Protection in Obstetrics Guidelines]. [Journal Article]
- GOGynecol Obstet Fertil Senol 2018 Oct 29
- CONCLUSIONS: It is necessary to use a consensus definition of the OASIS to be able to better detect and treat them.
- [Cheilitis granulomatosa revealing Crohn's disease]. [Journal Article]
- PAPan Afr Med J 2018; 30:147
- Many disorders of the digestive tract cause cutaneous manifestations that may be an indication of an underlying condition; hence dermatologist plays a key role in recommending that the patient see a ...
Many disorders of the digestive tract cause cutaneous manifestations that may be an indication of an underlying condition; hence dermatologist plays a key role in recommending that the patient see a gastroenterologist. Conversely, gastroenterologist often sees patients with mucocutaneous lesions suggesting possible association with well-known digestive disorders. Chronic inflammatory bowel diseases are the typical example of this essential collaboration between the two specialities. We report a case of Crohn's disease revealed by cheilitis granulomatosa. This study involved a 30-year old female patient followed up for cheilitis granulomatosa in the Department of Dermatology. Somatic examination was unremarkable apart from dermatologic lesions (indurated white faciolabial edema and diffuse gingivitis). Biopsy of the labial lesion revealed perivascular epithelioid and giant-cell granulomas without caseous necrosis. Ileocolonoscopy was performed due to suspected inflammatory colitis. It showed gaping and ulcerated Bauhin valve with slightly erythematous ileal mucosa. Anatomo-pathologic study objectified chronic inflammatory bowel disease (CIBD) such as ileocolic Crohn's disease. Patient's evolution was marked by some episodes of rectal bleeding with anoperineal lesions 6 months later: a wide anterior anal fissure with aphthous ulceration 5 cm from the anal margin, complicated, a few weeks later, by the onset of perianal fistulized abscess requiring surgical drainage and seton installation. Hence the indication for thorough treatment of Crohn's disease after complete drying up of the abscess. Dermatologic lesions vary in patients with CIBD. In some cases, they occur in patients with IBD whereas, in other cases, they precede or accompany digestive manifestations, allowing diagnosis of sometimes clinically latent bowel disease.
- Treatment of chronic anal fissure: Is open lateral internal sphincterotomy (LIS) a safe and adequate option? [Journal Article]
- AJAsian J Surg 2018 Oct 24
- CONCLUSIONS: LIS is still the gold standard for the treatment of chronic anal fissure when the physicians would like to avoid recurrence and obtain the best pain relief.
- Proctalgia and constipation secondary to hypertrophic polyglucosan inclusion body myopathy of the internal anal sphincter: a case report. [Journal Article]
- JMJ Med Case Rep 2018 Oct 24; 12(1):315
- CONCLUSIONS: Hereditary polyglucosan inclusion body myopathy of the internal anal sphincter should be considered in the differential diagnosis of a patient presenting with severe anal pain and constipation in the absence of an anal fissure or sepsis. If medical therapy with calcium antagonists fails to provide symptom relief, lateral internal sphincterotomy should be considered rather than botulinum toxin injection.
- StatPearls [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- An anal fissure is a superficial tear in the skin distal to the dentate line and is a cause of frequent emergency room visits. In most cases, anal fissures are a result of hard stools and/or constipa...
An anal fissure is a superficial tear in the skin distal to the dentate line and is a cause of frequent emergency room visits. In most cases, anal fissures are a result of hard stools and/or constipation, as well as injury. Anal fissures are common in both adults and children, and those with a history of constipation tend to have more frequent episodes of this condition. Anal fissures can be acute (lasting less than 6 weeks) or chronic (more than 6 weeks). The majority of anal fissures are considered primary/typical occurring at the posterior midline. A small percentage of these may occur at the anterior midline. Other locations (atypical/secondary fissures) can be caused by other underlying conditions that require further workup. The diagnosis of anal fissure is primarily clinical. Several treatment options exist, including medical management and surgical options.
- Could local antibiotics be included in the treatment of acute anal fissure? [Journal Article]
- TJTurk J Surg 2018 Sep 11; :1-4
- CONCLUSIONS: The topical antimicrobial treatment with metronidazole as an addition to the classical medical treatments in acute anal fissure is an effective and safe practice resulting in further reduction in pain and increased healing rate.
- Effects of subjective sleep quality on the quality of life in patients with chronic anorectal disorder. [Journal Article]
- TJTurk J Surg 2018 Sep 13; :1-6
- CONCLUSIONS: The sleep quality in patients with chronic anorectal disorder is significantly impaired, thus negatively affecting quality of life. Therefore, improvement in quality of life by improving sleep quality should be one of the main objectives in treating chronic anorectal disorders.
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- Effectiveness of Lifestyle Modification Education on Knowledge, Anxiety, and Postoperative Problems of Patients With Benign Perianal Diseases. [Journal Article]
- JPJ Perianesth Nurs 2018; 33(5):640-650
- CONCLUSIONS: Results of the present study showed that nurse-conducted education on lifestyle modification of hemorrhoid and fissure was effective.