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An evidence-based treatment algorithm for anal fissure

  • J. N. Lund
  • P. O. Nyström
  • G. Coremans
  • A. Herold
  • I. Karaitianos
  • M. Spyrou
  • W. R. Schouten
  • A. A. Sebastian
  • M. Pescatori
CONSENSUS STATEMENT

Abstract

Guidelines for the treatment of anal fissure have been published in the USA and UK but differ. Many centers follow guidelines based on local experience. In December 2005, we met with the aim of developing an evidence-based treatment algorithm for anal fissure, applicable to both primary and secondary care. This algorithm may rationalize the treatment of anal fissure in primary and secondary care settings.

Key words

Anal fissure Non-surgical treatment Sphincterotomy Guidelines Algorithm Nitrate Calcium channel blocker Botulinum toxin 

Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • J. N. Lund
    • 1
  • P. O. Nyström
    • 2
  • G. Coremans
    • 3
  • A. Herold
    • 4
  • I. Karaitianos
    • 5
  • M. Spyrou
    • 6
  • W. R. Schouten
    • 7
  • A. A. Sebastian
    • 8
  • M. Pescatori
    • 6
  1. 1.Wolfson Digestive Diseases CentreClinical Sciences Wing The Medical School Derby City HospitalDerbyUK
  2. 2.Centre of Medical and Surgical GastroenterologyKarolinska University HospitalStockholmSweden
  3. 3.Department of GastroenterologyGasthuisberg University HospitalLeuvenBelgium
  4. 4.Enddarm-ZentrumMannheimGermany
  5. 5.Hellenic Center HospitalAthensGreece
  6. 6.Coloproctology UnitVilla Flaminia HospitalRomeItaly
  7. 7.Department of SurgeryDijkzigt University HospitalRotterdamThe Netherlands
  8. 8.Coloproctology UnitDepartment of Surgery University HospitalElcheSpain

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