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Anal Fissure Disease: Prevention and Quality of Life

  • Volker Wienert
  • Franz Raulf
  • Horst Mlitz
Chapter

Abstract

Anal fissures have a tendency for recurrence or chronicity. Katsinelos et al. (2006) observed 16% recurrences, and Jensen et al. (1987) 25%. Therefore, strategies to avoid such developments should be designed. In a double-blind, placebo-controlled study concerning 90 patients with acute anal fissure, Jensen (1987) was able to prove that after the administration of 5 g of unprocessed bran (three times daily over a year), a recurrence affected only 16% of the cases. The placebo group, however, showed 68% recurrences. Bran absorbs four times its weight in water, and thus effects a voluminous stool which leads to a physiological dilatation of the anus during its passage. Contrary to bran, Plantago ovata (flee seed husks; Mucofalk®) increases substantially in volume, so that its administration promises an even better therapeutic effect.

Keywords

Bodily Pain Anal Fissure General Health Perception Chronic Anal Fissure Good Therapeutic Effect 
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

Prevention

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Anal Fissure Disease and Quality of Life

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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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