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Anal fissure and stenosis
Sherief Shawki1, Meagan Costedio
1Department of Colorectal Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Gastroenterology Clinics of North America
|November 28, 2013
Summary
Anal fissures and anal stenosis are common anorectal conditions causing pain and bleeding. This review covers their causes, diagnosis, and management strategies for better patient outcomes.
Area of Science:
- Gastroenterology and Surgical Science
Background:
- Anal fissure is a prevalent anorectal disorder characterized by anal pain and bleeding, with acute fissures healing spontaneously and chronic fissures requiring intervention.
- Anal stenosis, often a consequence of surgical trauma like hemorrhoidectomy, presents a significant clinical challenge for both patients and surgeons.
Purpose of the Study:
- To provide a comprehensive review of anal fissures and anal stenosis.
- To elucidate the etiology, pathophysiology, diagnostic approaches, and management algorithms for these two anorectal conditions.
Main Methods:
- Literature review of existing studies and clinical guidelines on anal fissures and anal stenosis.
- Synthesis of information regarding the underlying mechanisms, diagnostic criteria, and treatment pathways.
Main Results:
- Detailed explanation of the factors contributing to the development of anal fissures and stenosis.
- Outlined diagnostic methods including clinical examination and patient history.
- Presented evidence-based management algorithms for both acute/chronic fissures and anal stenosis.
Conclusions:
- Effective management of anal fissures and stenosis requires accurate diagnosis and tailored treatment strategies.
- Understanding the etiology and pathophysiology is crucial for developing optimal surgical and non-surgical interventions.
- This review offers a structured approach to managing these challenging anorectal disorders.
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