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Problems of Defining Chronic Anal Fissure

  • Volker Wienert
  • Franz Raulf
  • Horst Mlitz
Chapter

Abstract

The definition of chronic anal fissure is inconsistent. Some authors define it on the basis of its time of existence (longer than 6, 8, or 12 weeks), others on the basis of morphological criteria like the depth of the defect, the condition of the edges of the fissure, or the existence of secondary changes such as skin tag, hypertrophied anal papilla, cryptitis, or fistula. All these clinical manifestations can be chronic anal fissure components, separately or jointly.

Keywords

Botulinum Toxin Glyceryl Trinitrate Anal Fissure Chronic Anal Fissure Secondary Change 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Agaoglu N, Cengiz S, Arslan MK et al (2003) Oral nifedipine in the treatment of chronic anal fissure. Dig Surg 20:452–456CrossRefPubMedGoogle Scholar
  2. Bailey HR, Snyder MJ (2000) Ambulatory anorectal surgery. Springer, New YorkCrossRefGoogle Scholar
  3. Brühl W, Wienert V, Herold A (2011) Aktuelle Proktologie. Bremen, Uni-Med VerlagGoogle Scholar
  4. Buchmann P (2002) Lehrbuch der Proktologie, 4th edn. Hans Huber, BernGoogle Scholar
  5. Cook TA, Humphreys MMS, McC Mortensen NJ (1999) Oral nifedipine reduces resting anal pressure and heals chronic anal fissure. Br J Surg 86:1269–1273CrossRefPubMedGoogle Scholar
  6. Ezri T, Susmallian S (2003) Topical nifedipine vs. topical glyceryl trinitrate for treatment of chronic anal fissure. Dis Colon Rectum 46:805–808CrossRefPubMedGoogle Scholar
  7. Gabriel WB (1939) Anal fissure. Br Med J 11:519–521CrossRefGoogle Scholar
  8. Gupta PJ (2004) Hypertrophied anal papillae and fibrous anal polyps should they be removed during anal fissure surgery. World J Gastroenterol 10:2412–2414CrossRefPubMedPubMedCentralGoogle Scholar
  9. Hansen H, Stelzner F (1981) Proktologie. Springer, BerlinCrossRefGoogle Scholar
  10. Ho KS, Ho YH (2005) Randomized clinical trial comparing oral nifedipine with lateral anal sphincterotomy and tailored sphincterotomy in the treatment of chronic anal fissure. Br J Surg 92:403–408CrossRefPubMedGoogle Scholar
  11. Hughes ESR, Cuthbertson AM (1972) Anorectal surgery. Chapman + Hall, LondonGoogle Scholar
  12. Jensen SL, Nielsen OV (1998) Textbook of anal diseases. Harwood Academic Publishers, Australia, CanadaGoogle Scholar
  13. Katsinelos P, Papaziogas B, Koutelidakis I et al (2006) Topical 0.5 nifedipine vs. lateral internal sphincterotomy for the treatment of chronic anal fissure: long term follow-up. Int J Colorectal Dis 21:179–183CrossRefPubMedGoogle Scholar
  14. Lange J, Mölle B, Girona J (2012) Chirurgische Proktologie. Springer, HeidelbergCrossRefGoogle Scholar
  15. Lingemann B (2001) Praktische Proktologie. München, Hans MarseilleGoogle Scholar
  16. Lysy J, Israeli E, Levy S et al (2006) Long-term results of chemical sphincterotomy for chronic anal fissure: a prospective study. Dis Colon Rectum 49:858–864CrossRefPubMedGoogle Scholar
  17. Marti MC, Givel JC (1992) Chirurgie anorektaler Krankheiten. Springer, BerlinCrossRefGoogle Scholar
  18. Mustafa NA, Cengiz S, Türkyilmaz S et al (2005) Comparison of topical glyceryl trinitrate ointment and oral nifedipine in the treatment of chronic anal fissure. Acta Chir Belg 105:55–58Google Scholar
  19. Neiger A (1987) Atlas der praktischen Proktologie. Hans Huber, BernGoogle Scholar
  20. Perrotti P, Bove A, Antropoli C et al (2002) Topical nifedipine with lidocaine ointment vs. active control for treatment of chronic anal fissure. Dis Colon Rectum 45:1468–1475CrossRefPubMedGoogle Scholar
  21. Raulf F, Kolbert GW (2006) Praxishandbuch Koloproktologie. Dr. Kade GmbH, BerlinGoogle Scholar
  22. Rohde H (2007) Lehratlas der Proktologie. Gustav Thieme, StuttgartCrossRefGoogle Scholar
  23. Stein E (2002) Proktologie. Springer, Lehrbuch und Atlas. BerlinGoogle Scholar
  24. Stirnemann H, Halter F (1970) Erkrankungen von Rektum und Analkanal. Hans Huber, BernGoogle Scholar
  25. Thomas E, Körner W (1980) Proktologie. Jena, VEB Gustav FischerGoogle Scholar
  26. Thornton MJ, Kennedy ML, King DW (2005) Prospective manometric assessment of botulinum toxin and its correlation with healing of chronic anal fissure. Dis Colon Rectum 48:1424–1431CrossRefPubMedGoogle Scholar
  27. Tranqui P, Trottier DC, Victor C et al (2006) Nonsurgical treatment of chronic anal fissure: nitroglycerine and diltiazem versus nifedipine and botulinum toxin. Can J Surg 49:41–45PubMedPubMedCentralGoogle Scholar
  28. Wienert V, Mlitz H (1995) Einführung in die Proktologie. Schattauer, StuttgartGoogle Scholar
  29. Wienert V, Mlitz H, Raulf F (2010) Brauchen wir eine Klassifikation der Analfissur? Coloproctology 32:216–219CrossRefGoogle Scholar
  30. Winkler R, Otto P (1997) Proktologie. Thieme, StuttgartGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Volker Wienert
    • 1
  • Franz Raulf
    • 2
  • Horst Mlitz
    • 3
  1. 1.Department of ProctologyClinic for Dermatology at RWTH Aachen UniversityAachenGermany
  2. 2.Medical Center of ColoproctologyMünsterGermany
  3. 3.Medical Center of ColoproctologySaarbrückenGermany

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