Chronic Anal Fissure - A Multi Centric Study

Ah, Abro; Ah, Agha; Ar, Laghari; Bhurgari, A; Ali, Simak; Sa, Ali

doi:10.15744/2574-5980.1.104

Cited by 1 publication

(2 citation statements)

References 13 publications

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“…This study is present that higher degree incidence of chronic anal fissure between Age 40-49 years (19%), then age 30-39years (14%), followed by age 20-29 years (9%). Besides, only (7%) were at age ≥ 50-year-old which is no congruent with study done by (Douglas W Mapel, Michael Schum, and Ann Von Worley) and the study that done by (Abro AH, Agha AH, Laghari AR, Bhurgari A, Ali S and Ali SA) in 2014 and 2015, respectively [11] [12].…”

Section: Discussionmentioning

confidence: 82%

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Efficacy of Diltiazem 2% Cream as a Solid Treatment of Patients with Chronic Anal Fissure at Kirkuk General Hospital

Galleb

Ahmed

2022

Al-Kitab J. Pure Sci.

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Background: Chronic anal fissure is a common painful benign anorectal case. Surgical operations like lateral internal sphincterotomy or manual anal dilatation are effective for healing most cases within a few weeks. However, as a side effect, permanent impaired anal.continence is likely to occur Aim: This article aims to evaluate whether the pharmacological can be the first-line option for.the treatment of chronic anal fissure Patients and Methods: 60 patients are enrolled with a chronic anal fissure in this work. The cases were chosen randomly from Kirkuk general hospital during the period from February 2017 to October 2018. As a first-line therapy, all patients treated with diltiazem 2% cream for.6 weeks Results: As a result of adverse drug reaction and uncooperative patients, 10 patients were unable to complete medical treatment, while 50 patients were able to complete it. Furthermore, 40 patients (out of 50) achieved complete recovery with 25 males and 15 females. Nevertheless, 10 patients (7 males and 3 females) were failed to reach complete recovery, which makes undergoing sphincterotomy as a second-line option. Complete recovery is achieved in (n=45) 90% of patients within 5-6 weeks from the start of diltiazem 2% cream. Whereas, 10% of them (n=5) recovered with complete 6 weeks administration of .the cream Conclusions: For majority patients with a chronic anal fissure, diltiazem 2% cream with a course of six weeks was the first-line choice therapy

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Section: Discussionmentioning

confidence: 82%

“…Incidence of fissure was more common in male (31.8%) than in female (18.4%) that not agree with study done in 2015 about Chronic Anal Fissure -A Multi Centric Study [12]. However, it agrees with study to assess the effectiveness and side effect of diltiazem 2% gel in the management of chronic fissure-in-ano in 2015 [13].…”

Section: Discussionmentioning

confidence: 85%

Efficacy of Diltiazem 2% Cream as a Solid Treatment of Patients with Chronic Anal Fissure at Kirkuk General Hospital

Galleb

Ahmed

2022

Al-Kitab J. Pure Sci.

View full text Add to dashboard Cite

show abstract

Chronic Anal Fissure - A Multi Centric Study

Cited by 1 publication

References 13 publications

Efficacy of Diltiazem 2% Cream as a Solid Treatment of Patients with Chronic Anal Fissure at Kirkuk General Hospital

Efficacy of Diltiazem 2% Cream as a Solid Treatment of Patients with Chronic Anal Fissure at Kirkuk General Hospital

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