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[Anal fissure]

T Hager1

  • 1Abteilung für Allgemein- und Viszeralchirurgie, Frankenwaldklinik Kronach.

Therapeutische Umschau. Revue Therapeutique
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

Anal fissures are common anal canal issues diagnosed via symptoms and proctoscopy. Treatment focuses on reducing internal anal sphincter spasms, with surgery reserved for complex cases. Lifestyle changes like high-fiber diets aid recovery.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Anal fissure is a prevalent condition affecting the anal canal.
  • Characterized by typical symptoms of anal pain and bleeding.
  • Diagnosis is generally straightforward, often confirmed by proctoscopy.

Purpose of the Study:

  • To outline the diagnostic approach to anal fissures.
  • To describe current treatment strategies for anal fissures.
  • To emphasize the role of conservative management.

Main Methods:

  • Clinical diagnosis based on patient history and physical examination.
  • Proctoscopic confirmation of the anal fissure.
  • Review of established treatment modalities.

Main Results:

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  • Treatment primarily involves reducing internal anal sphincter spasticity through dilation or sphincterotomy.
  • Surgical excision is indicated for fissures with associated intersphincteric fistula or abscess.
  • Dietary modifications, including high-fiber intake and increased fluid consumption, are beneficial.

Conclusions:

  • Conservative management, including dietary adjustments, is a cornerstone of anal fissure treatment.
  • Pharmacological or surgical interventions target sphincter relaxation.
  • Surgical intervention is reserved for specific complicated cases.