Chemical sphincterotomy--first line of treatment for chronic anal fissure.
Artigo
em Inglês
| IMSEAR
| ID: sea-1320
ABSTRACT
Anal fissure is a common disorder which may cause symptoms at any age. Internal anal sphincterotomy is the gold standard surgical treatment which lowers the resting anal pressure and effectively heals the majority of fissures. However the post operative period may be marked by surgical risks, complications and late incidence of incontinence that is some times permanent. These complications has led to a search for alternative therapies for the treatment of chronic anal fissure. Chemical sphincterotomy has been tried using a variety of novel agents including topical glyceryl trinitrate (GTN), calcium channel blockers such as nifedipine or diltiazem and botulinum toxin. Some of these agents were found to be effective in healing chronic anal fissure with negligible side effects and are now considered as first line treatment for chronic anal fissure.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Vasodilatadores
/
Toxinas Botulínicas
/
Humanos
/
Bloqueadores dos Canais de Cálcio
/
Diltiazem
/
Nifedipino
/
Doença Crônica
/
Nitroglicerina
/
Fissura Anal
/
Dinitrato de Isossorbida
Idioma:
Inglês
Ano de publicação:
2005
Tipo de documento:
Artigo
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