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[Anal fissure].

Jan Kirsch1

  • 1Enddarm-Zentrum Mannheim, Mannheim, Deutschland. mail@enddarm-zentrum.de

Wiener Medizinische Wochenschrift (1946)
|March 25, 2004
PubMed
Summary

Anal fissures affect 10-15% of proctology patients, causing pain and sphincter spasm. While acute fissures often heal with conservative therapy, chronic cases may require surgical intervention if resistant to treatment.

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Area of Science:

  • Proctology
  • Gastroenterology

Context:

  • Anal fissures are common in proctological practice, affecting 10-15% of patients.
  • The etiology of anal fissures is multifactorial and not fully understood.
  • Key symptoms include defecation-related pain and persistent anal sphincter spasm.

Purpose:

  • To summarize the presentation, etiology, and management of anal fissures.
  • To differentiate between acute and chronic anal fissure treatment.

Summary:

  • Acute anal fissures frequently resolve spontaneously or with conservative management.
  • Chronic anal fissures may also respond to conservative treatment.
  • Surgical intervention is indicated for treatment-resistant chronic anal fissures.

Impact:

  • Provides a concise overview of anal fissure diagnosis and treatment.
  • Highlights the importance of distinguishing between acute and chronic forms for effective management.
  • Informs clinical decision-making regarding conservative versus surgical approaches.

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