Clinical Characteristics and Incidence of Perianal Diseases in Patients With Ulcerative Colitis

Choi, Yun-Woong; Kim, Do Sun; Lee, Dong Hoon; Lee, Jae Bum; Lee, Eun Jung; Lee, Seong Dae; Song, Ki Ho; Jung, Hyung Joong

doi:10.3393/ac.2017.06.08

Cited by 28 publications

(24 citation statements)

References 23 publications

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“…Sub-species F. tularensis subspecies holarctica spread mostly in Europe, while the sub-species F. tularensis subspecies tularensis exist frequently in North America. Although it is the same bacteria can be identified in more than 250 different animal species, but the exact path of transmission to humans is not yet clear [118]. In order to avoid serious illness and complications, it is necessary to appropriate early treatment after identifying pathogens.…”

Section: Lymph Node Abscessmentioning

confidence: 99%

Bacterial Skin Abscess

Radhi¹,

AL-Rubea²,

Hindi³

et al. 2021

Insights Into Drug Resistance in Staphylococcus Aureus

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Patients with skin and soft tissue infections may appear with the abscess. Erroneous diagnosis of these entities is common, and should carefully consider the possible alternative diagnoses. Risk for developing skin abscess factors includes disruption of the skin barrier, edema, venous insufficiency, and immune suppression. However, healthy individuals who have no risk factors may also develop these diseases. The most common microbiologic cause of abscess, a commonly group Streptococcus or Streptococcus pyogenes; Staphylococcus aureus (including methicillin-resistant strains) is a notable but less common cause. The most common microbiologic cause of skin abscess is S. aureus; a skin abscess can be caused by more than one pathogen. The diagnosis is based on skin abscess usually on the clinical manifestations. It must be subject to patients with disposable abscess incision and drainage, with a test of culture and susceptibility of materials wet. There is no justification for the blood of patients in the cultures of the abovementioned circumstances. It can be a useful radiographic examination to determine whether the skin abscess is present (via ultrasound) to distinguish cellulitis from osteomyelitis (via magnetic resonance imaging). There may be a justification for radiological assessment in patients with immune suppression, diabetes, venous insufficiency, or lymphedema in patients with persistent symptoms of systemic lymphatic obstruction.

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Section: Lymph Node Abscessmentioning

confidence: 99%

Bacterial Skin Abscess

Radhi¹,

AL-Rubea²,

Hindi³

et al. 2021

Insights Into Drug Resistance in Staphylococcus Aureus

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“…40% with acute anal fissure will convert to chronic one. 1,2 It has been observed that constipation is the primary and sole cause of commence of a fissure. Transit of hard stool, irregularity of diet, use of spicy and pungent food, flawed bowel habits and deficiency of local hygiene can contribute for initiation of the pathology.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of the results of the lateral internal anal sphincterotomy vs manual dilatation of anus for chronic anal fissure.

Nawaz

Mahmood

Hayat

et al. 2020

TPMJ

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Objectives: To compare the results of surgical treatment of chronic anal fissure after lateral internal sphincterotomy with manual dilatation of anus. Study Design: Randomized Controlled Prospective study. Setting: Department of Surgery District Teaching Hospital Sargodha, Pakistan. Period: April 2018 to Feb 2019. Material & Methods: Patients were divided into two groups by lottery method. The procedures were performed using standard protocols after obtaining written informed consent. 50 patients underwent lateral internal anal sphincterotomy (Group 1) and 50 patients manual dilatation of anus (Group 2). Patients having atypical anal fissures associated with other diseases were excluded from this study. We assessed both groups for persistence of symptoms, complications and better satisfaction in terms of surgical techniques. Results: All patients became symptoms free within 07-14 days of surgery. Urinary retention was noted in 2(4%) patients in lateral internal sphincterotomy and 2(4%) in manual dilatation of anus. Temporary flatus Incontinence was noted in 2(4%) patient of lateral internal sphincterotomy and 2(4%) in manual dilatation of anus. Faecal soiling was observed in 1(2%) patient of lateral internal sphincterotomy. No recurrence, anal stenosis, hemorrhage, infection of wound, pain and bleeding associated with defecation was seen in both groups. Conclusion: Both lateral internal sphincterotomy and manual dilatation of anus techniques are effective.

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“…This may deprive them of the opportunity for construction of an ileal pouch–anal anastomosis (IPAA). Population‐based studies estimate that 2–16% of patients with UC have proctological pathology, underscoring the need for an appropriate understanding of diagnosis and treatment in this group .…”

Section: Introductionmentioning

confidence: 99%

“…However, this practice is influenced by data from the 1970s and 1980s, well before medical treatment included biological therapy [4,5]. While the safety of excisional haemorrhoidectomy is being revisited in CD [6], the situation in UC remains largely unstudied, despite an estimated incidence of bleeding haemorrhoids in UC patients of 7% [1,4,[6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Excisional haemorrhoidectomy: is it safe in patients with an ileal pouch–anal anastomosis?

et al. 2020

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Aim Excisional haemorrhoidectomy in patients with ulcerative colitis (UC), especially those undergoing an ileal pouch-anal anastomosis (IPAA), remains controversial. The aim of our study was to determine the safety of excisional haemorrhoidectomy in UC patients with and without an IPAA. Method A retrospective review of all adult UC patients undergoing excisional haemorrhoidectomy between 1 January 1995 and 1 January 2019 at a tertiary inflammatory bowel disease referral centre was performed. Data collected included patient demographics, clinical characteristics of UC, prior surgical intervention for UC (colectomy, IPAA) and complications after haemorrhoidectomy. Results Forty-one adult patients [50% male; median age 52 (range 25-79) years] with UC underwent excisional haemorrhoidectomy between 1 January 1995 and 1 January 2019. The majority (n = 23) had not previously undergone surgery for UC. However, eight had already undergone construction of an IPAA at the time of haemorrhoidectomy, seven had IPAA at the time of haemorrhoidectomy and three had an IPAA constructed subsequent to haemorrhoidectomy. Two (4.9%) patients need to go back to theatre for postoperative bleeding. There were no further 30-day complications or long-term nonhealing of the surgical site. There were no pouch complications in those who had haemorrhoidectomy at the time of IPAA construction or in the presence of an IPAA. Conclusion Our data suggest that excisional haemorrhoidectomy may be performed safely in carefully selected UC patients with symptomatic haemorrhoids with or without IPAA and even at the time of IPAA construction.

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Clinical Characteristics and Incidence of Perianal Diseases in Patients With Ulcerative Colitis

Cited by 28 publications

References 23 publications

Bacterial Skin Abscess

Bacterial Skin Abscess

A comparative study of the results of the lateral internal anal sphincterotomy vs manual dilatation of anus for chronic anal fissure.

Excisional haemorrhoidectomy: is it safe in patients with an ileal pouch–anal anastomosis?

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