Anal fissure : is it becoming a medical disorder ?
Joint Authors
al-shaham, Ali
Jawad, Kazim
Serene A. A.
Source
al-Kindy College Medical Journal
Issue
Vol. 10, Issue 2 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2014-12-31
Country of Publication
Iraq
No. of Pages
4
Main Subjects
Topics
Abstract EN
An anal fissure which does not heal with conservative measures as sits baths and laxatives is a chronic anal fissure.
Physiologically, it is the high resting tone of the internal anal sphincter that chiefly interferes with the healing process of these fissures.
Until now, the gold standard treatment modality is surgery, either digital anal dilatation or lateral sphincterotomy.
However, concerns have been raised about the incidence of faecal incontinence after surgery.
Therefore, pharmacological means to treat chronic anal fissures have been explored.
A Medline and pub med database search from 1986-2012 was conducted to perform a literature search for articles relating to the non-surgical treatment of chronic anal fissure.
Pharmacological sphincterotomy using Glyceryl trinitrate , Isosorbide dinitrate or calcium channel blockers are exciting alternative treatment , that relaxes the anal sphincter and, therefore, promote healing, the drawback of such medications are headache and poor compliance.
With the introduction of Botulinum toxin as mean of chemical sphincterotom, topical injection of Botulinum toxin reduces the anal hypertonia which lasts for few months, allows the fissure to heal, thus eliminating the need for surgery without incidence of incontinence.
Cure rates are over 60 %, and the procedure can be repeated safely.
Therefore, Botulinum toxin is a reasonable first-line management of chronic anal fissure and the relapses can be managed by surgery
American Psychological Association (APA)
al-shaham, Ali& Jawad, Kazim& Serene A. A.. 2014. Anal fissure : is it becoming a medical disorder ?. al-Kindy College Medical Journal،Vol. 10, no. 2, pp.1-4.
https://search.emarefa.net/detail/BIM-580683
Modern Language Association (MLA)
al-shaham, Ali…[et al.]. Anal fissure : is it becoming a medical disorder ?. al-Kindy College Medical Journal Vol. 10, no. 2 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-580683
American Medical Association (AMA)
al-shaham, Ali& Jawad, Kazim& Serene A. A.. Anal fissure : is it becoming a medical disorder ?. al-Kindy College Medical Journal. 2014. Vol. 10, no. 2, pp.1-4.
https://search.emarefa.net/detail/BIM-580683
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 3-4
Record ID
BIM-580683