It is a longitudinal or elliptical ischemic ulcer in the anoderm, extending below the dentate line to the anal verge.
Conclusion: Manipulation of internal anal sphincter is an easy, safe and effective procedure for the treatment of chronic anal fissure.Īnal fissure is a common problem and is associated with severe pain and rectal bleeding. Two of the patients had persisting complaint of incontinence to flatus. Mean resting pressure before the procedure was 89.5 mmHg and it was recorded as 47.3 ± 4.3 at 6-month follow-up [p < 0.001). The remaining 17 needed 4 more weeks for the fissures to heal. 284 patients achieved complete healing within 4 weeks. The notable complications included ecchymosis, hematoma and submucus abscess.
Results: Fissure healing and relief of symptoms was observed in 97% of patients at the first follow-up at 4 week. An independent observer assessed postoperative course and early and 24-month follow-up results. Preoperative and postoperative anal manometry was recorded. Patients and methods: 301 patients with chronic anal fissures treated with this technique were enrolled for the study. See moreīackground: The author describes a technique of closed manipulation of the fibers of the internal anal sphincter to relieve anal spasm in patients with chronic anal fissures.
The journal accepts original articles, scientific letters, review articles, clinical guidelines, consensuses, editorials, letters to the Editors, brief communications, and clinical images in Gastroenterology in Spanish and English for their publication. The scientific works include the areas of Clinical, Endoscopic, Surgical, and Pediatric Gastroenterology, along with related disciplines. The principal aim of the journal is to publish original work in the broad field of Gastroenterology, as well as to provide information on the specialty and related areas that is up-to-date and relevant. Its pages are open to the members of the Association, as well as to all members of the medical community interested in using this forum to publish their articles in accordance with the journal editorial policies. The Revista de Gastroenterología de México (Mexican Journal of Gastroenterology) is the official publication of the Asociación Mexicana de Gastroenterología (Mexican Association of Gastroenterology).
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