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Colegio de Medicos y Cirujanos República de Costa Rica

2015, Number 615

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Rev Med Cos Cen 2015; 72 (615)

Fisuras anales

Salas SE

Language: Spanish
References: 10
Page: 261-264
PDF size: 146.69 Kb.


ABSTRACT

Anal fissure is one of the most common benign anorectal conditions. They are classified as primary or secondary and acute or chronic. Anal fissure is the result of opposing forces that separate anal mucosa beyond its normal capacity and causes a circle in which the exposed internal anal sphincter starts with repetitive spastic contractions causing persistent ischemia and in turn making healing more difficult. Patients typically present with painful defecation and can be managed medically or surgically.


REFERENCES

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  2. Carapeti AE, Kamm AM, Phillips KSR. Topical diltiazem and bethanechol decrease anal sphincter pressure without side effects. Gut 1999;45:719-722.

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  4. F. Charles. Brunicardi-Seymour I. Schwartz. Schwartz´ principles of surgery. New York. McGraw-Hill Medical Pub Division 2010. 9th Ed.

  5. Garg P, Garg M, Menon GR. Longterm continence disturbance after lateral internal sphincterotomy for chronic anal fissure: a systematic review and metaanalysis. Colorectal Dis 2013;15:e104–17.

  6. Lindsey I, Jones OM, Cunningham C, Mortensen NJ (2004) Chronic anal fissure. Br J Surg 91:270–279

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  8. Sajid MS, Whitehouse PA, Sains P, et al. Systematic review of the use of topica diltiazem compared with glyceryl trinitrate for the nonoperative management of chronic anal fissure. Colorectal Dis 2013;15:19–26.

  9. Shao WJ, Li GC, Zhang ZK (2009) Systematic review and metaanalysis of randomized controlled trials comparing botulinum toxin with injection with lateral internal sphincterotomy for chronic anal fissure. Int J Colorectal Dis 24:995– 1000

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