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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
259
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Feces Formation and Defecation01:26

Feces Formation and Defecation

2.0K
After spending 3 to 10 hours in the large intestine, chyme loses a lot of water and becomes feces, the final product of digestion. Feces consist of undigested dietary fiber such as cellulose, mucus, sloughed-off epithelial cells, and microbes. The descending and sigmoid colon stores feces and uses haustral contractions to dry it out but retains enough water to give it a semi-solid texture.
The mass peristalsis then pushes the feces into the rectum, which stretches the rectal walls to activate...
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Large Intestine01:09

Large Intestine

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The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Related Experiment Video

Updated: Oct 20, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Anal Fissure - an extensive update.

Sajad Ahmad Salati1

  • 1Unaizah College of Medicine, Qassim University, Kingdom of Saudi Arabia.

Polski Przeglad Chirurgiczny
|September 13, 2021
PubMed
Summary

Anal fissure, a common anorectal condition, causes pain and bleeding. While most heal conservatively, chronic cases impact quality of life, necessitating updated management strategies.

Area of Science:

  • Gastroenterology and Colorectal Surgery

Background:

  • Anal fissure is a frequent anorectal condition characterized by a tear in the anoderm.
  • It leads to painful defecation and rectal bleeding, significantly affecting patient quality of life.

Purpose of the Study:

  • To review the clinical presentation, etiopathogenesis, quality of life impact, and management of anal fissures.
  • To highlight recent literature updates on anal fissure treatment.

Main Methods:

  • Literature review of recent updates on anal fissure management.
  • Analysis of conservative, non-surgical, and surgical treatment modalities.

Main Results:

  • Most anal fissures resolve with conservative treatment.
  • Chronic fissures require management focused on reducing anal pressures.
Keywords:
anal continenceanal fissurefissure-in-anofissurectomyinternal sphincter hypertoniasphincterotomy

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  • Lateral internal sphincterotomy is a gold standard but carries risks like incontinence.

    • Conclusions:

    • Evolving non-surgical options and modifications to surgical techniques aim to minimize complications.
    • Comprehensive understanding of presentation, pathogenesis, and updated management is crucial for effective patient care.