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Published on 28 November 2024 By ESCP Secretariat In Anal Fissure
Trainee video session - Carlo Ratto (Italy) at ESCP Thessaloniki 2024
Published on 30 November 2023 By ESCP Secretariat In Anal Fissure
Sezai Leventoğlu (Turkey) at ESCP Vilnius 2023
Published on 26 October 2022 By ESCP Secretariat In Anal Fissure
Educational session - Tomas Poskus (Lithuania) at ESCP Dublin 2022
Educational session - Gaetano Luglio (Italy) at ESCP Dublin 2022
Published on 18 May 2017 By European Manual of Medicine: Coloproctology In Anal Fissure
An anal fissure is a tear in the epithelial lining of the anal canal, distal to the dentate line. It is accompanied by a significant increase in the tone of the internal anal sphincter. Anal pain is usually intense, occurs during or minutes after a bowel movement, and can last from minutes to hours. It may be accompanied by minimal bleeding. A fissure is usually located in the posterior (in 90 % of cases) or anterior midline (in 10 % of women and 1–5 % of men with anal fissure). If there are multiple fissures or occur at a lateral position, other anal pathologies must be ruled out (e.g., tuberculosis, syphilis, HIV, Crohn’s disease). Treatment of anal fissure is based on general measures and pharmacological intervention. General measures consist of sitz baths, avoiding the presence of hard stools by using laxatives or significantly increasing fiber intake, and using analgesics. Pharmacological treatment is based on three groups: a nitric oxide donor (glyceryl trinitrate), calcium channel antagonists (diltiazem, nifedipine), and botulinum toxin. The results of these treatments are better than placebo but inferior to surgery. If these treatments fail, surgery is the best option. Sphincterotomy is an outpatient procedure with a success rate greater than 90 %, but it has a postoperative incontinence rate between 3 % and 15 %. A chance of postoperative incontinence is the main reason why drug treatment is now considered as the first therapeutic option, especially in patients with a high risk for incontinence.
Published on 25 November 2015 By ESCP Secretariat In Anal Fissure
Trainees Video Session - Bruno Roche at ESCP Dublin 2015
Published on 12 December 2014 By ESCP Secretariat In Anal Fissure
Anorectal and Pelvic Ultrasound Course - Carlo Ratto at ESCP Barcelona 2014
Oral Poster (Proctology) - Leila Ghahramani at ESCP Barcelona 2014
Oral Poster (Functional disorders) - Louis Johnson at ESCP Barcelona 2014
Free Paper (Proctology) - Ozden Arisoy at ESCP Barcelona 2014
Published on 06 August 2014 By ESCP Secretariat In Anal Fissure
Symposium - Alexander Engel (Australia) at Tripartite Colorectal Meeting 2014
Published on 04 November 2013 By ESCP Secretariat In Anal Fissure
Free paper - A.E.M. Berkel at ESCP Belgrade 2013
Oral poster - Michael Dessily at ESCP Belgrade 2013
Published on 15 October 2012 By ESCP Secretariat In Anal Fissure
Oral poster - Stephanie Garcia-Botello at ESCP Vienna 2012
Published on 18 October 2010 By ESCP Secretariat In Anal Fissure
Free paper - Bas Twigt at ESCP Sorrento 2010
Oral poster - Michael Shapiro at ESCP Sorrento 2010
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