Document Detail

Anal canal pressure in anal fissure before and after internal sphincterotomy.
MedLine Citation:
PMID:  14653039     Owner:  NLM     Status:  MEDLINE    
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 repeated on the 15th postoperative day and compared with the value obtained in twelve healthy volunteers. RESULTS: In patients with chronic anal fissure, the mean maximal resting pressure (MRP) was found to be 112.38 +/- 8.35 cm H2O pre-operatively and 66.23 +/- 8.44 cm H2O postoperatively, with a significant drop after IASy (p < 0.001). The MRP value was found as 75.16 +/- 10.22 cm H2O in the control group. The pre-operative MRP values in patient group was found to be higher than in the control group (p < 0.001). CONCLUSIONS: In patients with chronic anal fissure, the anal canal MRP pressures decreased significantly following IASy and complete clinical recovery was attained.
B Aytaç; S Cakar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  103     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-12-04     Completed Date:  2004-03-18     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  511-2     Citation Subset:  IM    
General Surgery Department, TCDD Ankara Hospital, Ankara, Turkey.
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MeSH Terms
Anal Canal / physiopathology*
Chronic Disease
Digestive System Surgical Procedures / methods*
Fissure in Ano / physiopathology*,  surgery*
Manometry / methods
Middle Aged
Treatment Outcome

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