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Anorectal disease

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Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Opinion statement

  • Most symptomatic internal hemorrhoids, grade 1 through 3, can be treated successfully with office-based procedures.

  • Anorectal suppurative diseases must be treated surgically. Control of sepsis with subsequent fistula surgery as necessary is the goal.

  • New nonoperative methods of anal fissure therapy are directed at reducing anal sphincter pressures. These methods have shown significant reduction in the need for sphincterotomy—a proven surgical technique with some risk of impaired continence.

  • Surgery, using an advancement flap and partial internal sphincterotomy, remains the primary treatment for anal stenosis.

  • Solitary rectal ulcer remains a difficult problem to manage medically and surgically.

  • Multiple surgical techniques can effectively treat rectal prolapse. A minimal technique using Silastic wrap (Wright Medical Technologies; Arlington, TX), perineal resection (Altemeier procedure), and sigmoidectomy-rectopexy, or Ripstein suspension, has been the most favored method in selected patients.

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References and Recommended Reading

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Authors and Affiliations

  1. Department of Surgery, Saint Paul Hospital, University of Texas Southwestern Medical Center, 5939 Harry Hines Boulevard, Room 530, 75235, Dallas, TX, USA

    Philip Huber Jr MD & Sharon Gregorcyk MD

Authors
  1. Philip Huber Jr MD
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  2. Sharon Gregorcyk MD
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Huber, P., Gregorcyk, S. Anorectal disease. Curr Treat Options Gastro 3, 229–241 (2000). https://doi.org/10.1007/s11938-000-0026-7

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  • DOI: https://doi.org/10.1007/s11938-000-0026-7

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