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Related Experiment Videos

Anorectal disorders

D M Janicke1, M R Pundt

  • 1Department of Emergency Medicine, State University of New York at Buffalo, Millard Fillmore Hospitals, USA.

Emergency Medicine Clinics of North America
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Emergency medicine frequently manages anorectal disorders like hemorrhoids and anal fissures. Prompt diagnosis and treatment in the emergency department, followed by appropriate follow-up, are crucial for effective patient outcomes.

Area of Science:

  • Emergency Medicine
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Anorectal disorders are common in emergency medicine, often manageable within the department.
  • Hemorrhoids, anal fissures, abscesses, and carcinomas are key conditions encountered.
  • Infections and trauma also present significant anorectal challenges.

Purpose of the Study:

  • To review the diagnosis and management of common anorectal disorders in the emergency setting.
  • To highlight the importance of appropriate follow-up care for anorectal conditions.
  • To discuss the presentation and initial management of less common but critical anorectal pathologies.

Main Methods:

  • Literature review of anorectal disorders relevant to emergency medicine.
  • Summarization of diagnostic criteria and treatment modalities for various anorectal conditions.

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  • Emphasis on the role of the emergency physician in initial assessment and management.

    • Main Results:

    • Hemorrhoids and anal fissures are prevalent, often treated conservatively or with minimally invasive procedures.
    • Anorectal abscesses require prompt surgical drainage to prevent complications.
    • Anal cancer diagnosis necessitates high suspicion and biopsy, with chemotherapy/radiotherapy showing promise.
    • Infections and trauma require specific diagnostic workups and interventions.

    Conclusions:

    • Emergency physicians play a vital role in the initial management of anorectal disorders.
    • Timely diagnosis, appropriate treatment, and adequate follow-up are essential for optimal outcomes.
    • Awareness of diverse anorectal pathologies, including infections and trauma, is critical for emergency care.