Anal pressures in hemorrhoids and anal fissure

Arabi, Y.; Alexander-Williams, J; Keighley, M. R. B.

doi:10.1016/0002-9610(77)90445-7

Cited by 147 publications

(55 citation statements)

References 4 publications

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“…Our findings of significantly higher mean resting anal pressure in patients with anal fissure compared with controls are in accordance with the observations of others [19][20][21][22][23]. In our series, 30% of patients with anal fissure had normal MRAP, and this is not in agreement with the concept of a global increase of the resting anal pressure in patients with anal fissure [24].…”

Section: Discussionsupporting

confidence: 79%

Computerized anal vector manometric analysis in patients treated by tailored lateral spincterotomy for anal fissure

Hussein

Shehata

Zaki

et al. 2001

Techniques in Coloproctology

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FACL, 3.30 ± 0.25 cm; HPS, 1.05 ± 0.36 cm; D1/D2 =1.18 ± 0.46). The percent MRAP reduction was nearly constant after TLS, regardless of the type of patients (36.85 ± 15.04% in hypertensives, 30.48 ± 16.62% in normotensives). TLS resulted in hypotonia, which was more evident in females (MRAP = 57.00 ± 7.75 cm H 2 O) and normotensive patients (MRAP = 48.60 ± 9.08 cm H 2 O). Two patients (6.66%) had persistent fissure after TLS. Soiling and imperfect control of flatus were reported by two patients (6.66%). Following tailored lateral sphincterotomy, the anal physiology was significantly more preserved in hypertensive than in normotensive patients. The success rate of TLS closely approximated that of traditional lateral sphincterotomy with less incidence of continence disorders. A more careful preservation of the sphincter is required in normotensive patients.

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Section: Discussionsupporting

confidence: 79%

Computerized anal vector manometric analysis in patients treated by tailored lateral spincterotomy for anal fissure

Hussein

Shehata

Zaki

et al. 2001

Techniques in Coloproctology

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“…The increased pressure in the anal canal of patients with piles is due to hypertension in the anal cushions, sometimes favoured by an overactive internal sphincter, especially during defaecation [29][30][31]. The high anal pressure is reverted to normal limits after haemorrhoidectomy.…”

Section: Discussionmentioning

confidence: 97%

Anorectal function and clinical outcome after open and closed haemorrhoidectomy, with and without internal sphincterotomy. A prospective study

Pescatori¹,

Favetta²,

Amato³

2000

Techniques in Coloproctology

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“…In a study that compared the resting pressure of a group of hemorrhoid patients with a control group, the resting pressure was higher in the hemorrhoid group 13,14) . Hemorrhoid patients could be further divided into two distinct groups, males with resting pressure levels higher than the control group who complained of bleeding and discomfort, and females with resting pressure lower than the control group who reported prolapsing 15) . It is believed that the manner in which anal resting pressure affects symptoms has to do with prolapsing hemorrhoids with bowel movement being strangulated by internal anal sphincter spasms, leading to congestion of the anal cushion and bleeding 3,16) .…”

Section: Discussionmentioning

confidence: 99%

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Yamana

2017

J Anus Rectum Colon

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The pathogenesis of hemorrhoids is a weakening of the anal cushion and spasm of the internal sphincter. Bowel habits and lifestyles can be risk factors for hemorrhoids. The prevalence of hemorrhoids can encompass 4 to 55% of the population. Symptoms include bleeding, pain, prolapsing, swelling, itching, and mucus soiling. The diagnosis of hemorrhoids requires taking a thorough history and conducting an anorectal examination. Goligher's classification, which indicates the degree of prolapsing with internal hemorrhoids, is useful for choosing treatment. Drug therapy for hemorrhoids is typically utilized for bleeding, pain, and swelling. Ligation and excision (LE) is considered for Grade III and IV internal and external hemorrhoids. Rubber band ligation is used to treat up to Grade III internal hemorrhoids. Phenol almond oil is effective for internal hemorrhoids up to Grade III, while aluminum potassium sulfate and tannic acid have shown efficacy in treating prolapsing in internal hemorrhoids at Grades II, III, and IV. Procedure for prolapse and hemorrhoids (PPH) is surgically effective for Grade III internal hemorrhoids; however, the long-term prognosis is not favorable, with high recurrence rates. Separating ligation is effective surgical treatment for internal/external hemorrhoids Grade III and Grade IV. The basic approach to thrombosed external hemorrhoids and incarcerated hemorrhoids is conservative treatment; however, in some acute or severe cases, surgical resection is considered. Comparing the different instruments used for hemorrhoid surgery, all reduce operating time, blood loss, post-operative pain, and length of time until the return to normal activity. They do, of course, increase the cost of the procedure.

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Anal pressures in hemorrhoids and anal fissure

Cited by 147 publications

References 4 publications

Computerized anal vector manometric analysis in patients treated by tailored lateral spincterotomy for anal fissure

Computerized anal vector manometric analysis in patients treated by tailored lateral spincterotomy for anal fissure

Anorectal function and clinical outcome after open and closed haemorrhoidectomy, with and without internal sphincterotomy. A prospective study

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

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