Document Detail


Internal sphincterotomy for chronic anal fissure: long term effects on anal pressure.
MedLine Citation:
PMID:  3790924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 28 patients with chronic anal fissure the median anal canal pressure was 98 cmH2O, significantly higher than in control subjects (P less than 0.001). After lateral internal sphincterotomy the pressure dropped by 50 per cent to normal levels and the fissures healed with no change in pressure over 12 months. Ten patients also had normal anal pressures and were asymptomatic 4-6 years after internal sphincterotomy. Adequate internal sphincterotomy appears to reduce permanently anal canal pressure, suggesting that abnormal activity in the sphincter contributes to the development of a fissure.
Authors:
N L Chowcat; J G Araujo; P B Boulos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  73     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1987-02-05     Completed Date:  1987-02-05     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  915-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anal Canal / physiopathology,  surgery*
Female
Fissure in Ano / physiopathology,  surgery*
Humans
Male
Manometry
Middle Aged
Pressure
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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