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Anorectal Disease.

P Huber1, S Gregorcyk

  • 1Department of Surgery, Saint Paul Hospital, University of Texas Southwestern Medical Center, 5939 Harry Hines Boulevard, Room 530, Dallas, TX 75235, USA. phuber@mednet.swmed.edu; sgrego@mednet.swmed.edu

Current Treatment Options in Gastroenterology
|November 30, 2000
PubMed
Summary
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Office-based procedures effectively treat most internal hemorrhoids. Surgical intervention is crucial for anorectal suppurative diseases, anal fissures, anal stenosis, solitary rectal ulcers, and rectal prolapse, with various techniques available.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Symptomatic internal hemorrhoids (grades 1-3) often managed non-surgically.
  • Anorectal conditions like fissures, stenosis, ulcers, and prolapse require specific therapeutic approaches.

Purpose of the Study:

  • To review current treatment modalities for common anorectal conditions.
  • To highlight the efficacy of both surgical and non-surgical interventions.

Main Methods:

  • Review of established and emerging treatments for hemorrhoids, fissures, stenosis, ulcers, and prolapse.
  • Emphasis on surgical techniques including sphincterotomy, advancement flap, and specific prolapse repair methods.

Main Results:

  • Office-based procedures are effective for internal hemorrhoids.

Related Experiment Videos

  • Non-operative methods for anal fissures reduce the need for sphincterotomy.
  • Surgery remains primary for anal stenosis, solitary rectal ulcers, and rectal prolapse, with several techniques showing success.

    • Conclusions:

    • A range of treatments exist for anorectal diseases, tailored to specific conditions and severity.
    • Minimally invasive and surgical options provide effective management for complex anorectal pathology.