Document Detail


Variation in clinical, manometric and endosonographic findings in anterior chronic anal fissure: a prospective study.
MedLine Citation:
PMID:  17486450     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nearly all chronic anal fissures occur in the posterior midline of the anal canal. However, some of them are in the anterior midline and are rarely double or in the lateral anal walls. The aim of this study was to determine if the clinical, manometric and endosonographic characteristics in patients with chronic anal fissure varied according to topography of the fissure. The patients included in this prospective study were divided according to a fissure site in posterior midline location (Group A, n = 84) and anterior midline location (Group B, n = 30). No differences were found regarding clinical data except that anterior fissures were more common in females. Mean maximal anal resting pressure and internal anal sphincter thickness was higher in Group A. However, these differences were not statistically significant. We found correlation between mean maximal anal resting pressure and internal anal sphincter thickness in patients suffering from anterior chronic anal fissure.
Authors:
Marta Pascual; David Parés; Miguel Pera; Ricard Courtier; Maria José Gil; Sonia Puig; Alejandro Serrano; Montserrat Andreu; Luis Grande
Publication Detail:
Type:  Journal Article     Date:  2007-05-08
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  53     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-6     Citation Subset:  AIM; IM    
Affiliation:
Colorectal Surgery Unit, Department of Surgery, Hospital del Mar, Passeig Marítim 25-29, 08003, Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chronic Disease
Endosonography / methods*
Female
Fissure in Ano / drug therapy,  physiopathology*,  ultrasonography
Follow-Up Studies
Humans
Male
Manometry / methods*
Middle Aged
Nitroglycerin / administration & dosage
Ointments
Pressure
Prognosis
Prospective Studies
Severity of Illness Index
Vasodilator Agents / administration & dosage
Chemical
Reg. No./Substance:
0/Ointments; 0/Vasodilator Agents; 55-63-0/Nitroglycerin

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


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