2006
DOI: 10.1111/j.1463-1318.2006.00972.x
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Anal ulceration associated with Nicorandil: case series and review of the literature

Abstract: We believe ulceration due to Nicorandil remains widely under diagnosed and the mechanism of ulceration is unclear. Despite diversion colostomy one of our patients continued with peri-anal ulceration, which may suggest a systemic mechanism rather than local irritation. Biopsy of these lesions is essential to exclude neoplastic process and inflammatory bowel disease.

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Cited by 44 publications
(30 citation statements)
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References 9 publications
(21 reference statements)
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“…Despite these promising reports on the use of topical potassium channel openers for anal fissure treatment, there have been a number of case reports of anal ulcers associated with the use of nicorandil, a common oral potassium channel opener used for angina [163][164][165][166]. The mechanism of action is unclear.…”
Section: Potassium Channel Openersmentioning
confidence: 87%
“…Despite these promising reports on the use of topical potassium channel openers for anal fissure treatment, there have been a number of case reports of anal ulcers associated with the use of nicorandil, a common oral potassium channel opener used for angina [163][164][165][166]. The mechanism of action is unclear.…”
Section: Potassium Channel Openersmentioning
confidence: 87%
“…[1][2][3][4][5][6][7][8][9][10][11][12] After withdrawal of nicorandil, ulcer healing may take place in as little as two weeks. In most cases it takes at least 12 weeks and in some cases up to six months.…”
Section: Discussionmentioning
confidence: 99%
“…Ursache ist in diesem Fall die medikamentöse Wirkung per anum eingeführ-ter Substanzen (Zäpfchen, Schaum oder Einläufe [3].…”
Section: Medikamentös Bedingtunclassified