TY - JOUR
T1 - Current Management of Anal Fissure
AU - Etzioni, David A.
PY - 2011/3
Y1 - 2011/3
N2 - Anal fissure is a common problem, with several different modalities of treatment. Although the diagnosis and evaluation of fissure is not complicated, there are many different accepted treatments. Initial conservative measures focus on normalizing stool bulk and avoiding constipation. Medical treatment with nitroglycerine, calcium channel blockers, and topical anesthetics/steroids have proven efficacy, as does botulinum injection. The current evidence is not sufficient to label one of these options as the preferred treatment for anal fissure. Surgical sphincterotomy and anoplasty should be reserved for refractory cases.
AB - Anal fissure is a common problem, with several different modalities of treatment. Although the diagnosis and evaluation of fissure is not complicated, there are many different accepted treatments. Initial conservative measures focus on normalizing stool bulk and avoiding constipation. Medical treatment with nitroglycerine, calcium channel blockers, and topical anesthetics/steroids have proven efficacy, as does botulinum injection. The current evidence is not sufficient to label one of these options as the preferred treatment for anal fissure. Surgical sphincterotomy and anoplasty should be reserved for refractory cases.
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U2 - 10.1053/j.scrs.2010.09.010
DO - 10.1053/j.scrs.2010.09.010
M3 - Article
AN - SCOPUS:79951659503
SN - 1043-1489
VL - 22
SP - 2
EP - 8
JO - Seminars in Colon and Rectal Surgery
JF - Seminars in Colon and Rectal Surgery
IS - 1
ER -