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https://www.readbyqxmd.com/read/27885392/imaging-of-acute-anorectal-conditions-with-ct-and-mri
#1
REVIEW
Preethi Guniganti, Sara Lewis, Ally Rosen, Sarah Connolly, Constantine Raptis, Vincent Mellnick
Anorectal disorders are a common cause of presentation to the emergency department (ED). While the most frequently encountered anorectal conditions, such as hemorrhoids and anal fissures, are relatively benign and do not require imaging for diagnosis or management, there are multiple potentially life threatening anorectal conditions for which imaging is an important component of evaluation, diagnosis, and management. Although computed tomography (CT) is the most commonly used imaging modality for evaluation of anorectal pathology in the ED, magnetic resonance imaging (MRI) has an increasingly important role in the detection, characterization and management of specific anorectal conditions...
November 24, 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/27806522/application-of-repeated-measures-method-to-compare-physical-maternal-health-index-in-a-follow-up-study
#2
Hourieh Shamshiri Milani, Nezhat Shakeri, Taha Asbaghi
Maternal health is a concept indicating the health of mothers during pregnancy, childbirth and the post-partum period. Recent literature indicates that the maternal mortality rate in Iran is 23 per 100,000 live birth. For every death, 20 to 30 mothers suffer from chronic and acute illnesses arising from pregnancy and delivery; therefore, using a valid and reliable indicator will help researchers assess maternal health more precisely. In this longitudinal study, attempt has been made to compare mothers' health status by using a subjective tool for evaluating the Physical-Maternal Health Index (P-MHI)...
August 1, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27771095/transanal-hemorrhoid-dearterialization-is-a-safe-and-effective-outpatient-procedure-for-the-treatment-of-hemorrhoidal-disease
#3
Zoran Bjelanovic, Miroljub Draskovic, Milic Veljovic, Ivan Lekovic, Menelaos Karanikolas, Dusica Stamenkovic
INTRODUCTION: This prospective, observational study evaluated transanal dearterialization (THD) efficacy and safety in grade 2-4 hemorrhoids (HD). METHODS: THD was performed under sedation-locoregional anesthesia in 402 outpatients. Patients had follow-up evaluation 3 days, 2 weeks, 1, 6 and 12 months postoperatively. RESULTS: Mean patient age was 46.4 (range 20-85) years. A total of 268 patients (66.6%) were male. Sixteen patients (4.0%) had grade 2 HD, 210 (52...
October 19, 2016: Cirugía Española
https://www.readbyqxmd.com/read/27768009/ligasuretm-hemorrhoidectomy-how-we-do
#4
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUNDS: Hemorrhoidectomy is considered the gold standard and the most effective and definitive treatment for grades 3 or 4 haemorrhoids, and Milligan-Morgan's and Ferguson's procedures are the most widely used techniques throughout the world. The aim of the study is to present our surgical technique using LigasureTM vessel sealing, focus on technical aspects and surgical tricks showing our results with a huge number of patients and a long-term follow-up. METHODS: Between June 2001 and June 2014 at the University Hospital of Tor Vergata, Rome, Italy, 1000 patients were selected to underwent LigaSureTM hemorrhoidectomy for III and IV degree haemorrhoids...
October 21, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27749400/benign-anal-disease
#5
Susannah J Clark
Benign anal disease encompasses common problems including hemorrhoids, anal fissures, pruritus ani, perianal abscesses, and fistulae. Although many people will suffer from at least one of these conditions in their lives, healthcare practitioners diagnose and treat them accurately about 50% to 83% of the time. This article reviews common anal problems and the importance of a thorough history and physical examination to proper patient management.
November 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/27723447/anal-health-care-basics
#6
Jason Chang, Elisabeth Mclemore, Talar Tejirian
Despite the fact that countless patients suffer from anal problems, there tends to be a lack of understanding of anal health care. Unfortunately, this leads to incorrect diagnoses and treatments. When treating a patient with an anal complaint, the primary goals are to first diagnose the etiology of the symptoms correctly, then to provide an effective and appropriate treatment strategy.The first step in this process is to take an accurate history and physical examination. Specific questions include details about bowel habits, anal hygiene, and fiber supplementation...
2016: Permanente Journal
https://www.readbyqxmd.com/read/27721924/rubber-band-ligation-of-hemorrhoids-a-guide-for-complications
#7
Andreia Albuquerque
Rubber band ligation is one of the most important, cost-effective and commonly used treatments for internal hemorrhoids. Different technical approaches were developed mainly to improve efficacy and safety. The technique can be employed using an endoscope with forward-view or retroflexion or without an endoscope, using a suction elastic band ligator or a forceps ligator. Single or multiple ligations can be performed in a single session. Local anaesthetic after ligation can also be used to reduce the post-procedure pain...
September 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27712641/anorectal-and-pelvic-pain
#8
REVIEW
Adil E Bharucha, Tae Hee Lee
Although pelvic pain is a symptom of several structural anorectal and pelvic disorders (eg, anal fissure, endometriosis, and pelvic inflammatory disease), this comprehensive review will focus on the 3 most common nonstructural, or functional, disorders associated with pelvic pain: functional anorectal pain (ie, levator ani syndrome, unspecified anorectal pain, and proctalgia fugax), interstitial cystitis/bladder pain syndrome, and chronic prostatitis/chronic pelvic pain syndrome. The first 2 conditions occur in both sexes, while the latter occurs only in men...
October 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27681104/erratum-to-botulinum-toxin-injection-for-treatment-of-chronic-anal-fissure-is-there-any-dose-dependent-efficiency-a-meta-analysis
#9
Adam Bobkiewicz, Wojciech Francuzik, Lukasz Krokowicz, Adam Studniarek, Witold Ledwosiński, Jacek Paszkowski, Michal Drews, Tomasz Banasiewicz
No abstract text is available yet for this article.
September 28, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27676782/bladder-sphincter-disorders-and-quality-of-life-of-traumatic-brain-injury-tunisian-experience
#10
Mariem Rekik, Khaoula Achour, Anouer Abdallah, Sonia Lebib, Imen Miri, Fatima Zahra Ben Salah, Catherine Dziri
OBJECTIVE: The aim of our study was to assess the bladder and sphincter function after brain injury (BI) and to review their association with quality of life (QOL). MATERIAL/PATIENTS AND METHODS: We conducted a cross-sectional study, including patients referred to physical and rehabilitation medicine department at the Med Kassab Institute of Orthopedics. The initial gravity data were collected. The bladder-sphincter assessment included evaluation of the urine drain mode, the irritative disorders, obstructive disorders, disorders of transit and the existence of secondary anal lesions...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27624496/chronic-anal-fissure-morphometric-analysis-of-the-anal-canal-at-3-0-tesla-mr-imaging
#11
Ayşe Erden, Elif Peker, Zeynep Bıyıklı Gençtürk
: OBJECTıVE: To compare the morphometric data relating to the muscular structures of the anal canal, in patients with chronic anal fissure and in control group, examined at a 3.0 Tesla MR system. SUBJECTS AND METHODS: Forty-seven consecutive patients with chronic anal fissure and randomly selected 40 patients who had no claims for perianal disease during their life time were included in the study. T2-weighted sagittal, high-resolution (HR) T2-weighted, and contrast-enhanced fat-suppressed T1-weighted oblique axial and oblique coronal images were retrospectively analyzed by two observers in consensus...
September 13, 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/27539490/botulinum-toxin-injection-for-treatment-of-chronic-anal-fissure-is-there-any-dose-dependent-efficiency-a-meta-analysis
#12
Adam Bobkiewicz, Wojciech Francuzik, Lukasz Krokowicz, Adam Studniarek, Witold Ledwosiński, Jacek Paszkowski, Michal Drews, Tomasz Banasiewicz
BACKGROUND: Chronic anal fissure (CAF) is a linear split of the anoderm. The minimally invasive management of CAF such as botulinum toxin (BT) injection is recommended. However, the exact efficient dose of BT, number of injections per session and the injection sites are still debatable. The aim of this analysis was to assess the dose-dependent efficiency of botulinum toxin injection for CAF. METHODS: PubMed and Web of Science databases were searched for terms: "anal fissure" AND "botulinum toxin...
December 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27515194/increased-anal-basal-pressure-in-chronic-anal-fissures-may-be-caused-by-overreaction-of-the-anal-external-sphincter-continence-reflex
#13
Maxime M van Meegdenburg, Monika Trzpis, Erik Heineman, Paul M A Broens
Chronic anal fissure is a painful disorder caused by linear ulcers in the distal anal mucosa. Even though it counts as one of the most common benign anorectal disorders, its precise etiology and pathophysiology remains unclear. Current thinking is that anal fissures are caused by anal trauma and pain, which leads to internal anal sphincter hypertonia. Increased anal basal pressure leads to diminished anodermal blood flow and local ischemia, which delays healing and leads to chronic anal fissure. The current treatment of choice for chronic anal fissure is either lateral internal sphincterotomy or botulinum toxin injections...
September 2016: Medical Hypotheses
https://www.readbyqxmd.com/read/27505118/optimal-dosing-of-botulinum-toxin-for-treatment-of-chronic-anal-fissure-a-systematic-review-and-meta-analysis
#14
Jin Xin Lin, Sanjeev Krishna, Bruce Su'a, Andrew G Hill
BACKGROUND: Chronic anal fissures are associated with significant morbidity and reduced quality of life. Studies have investigated the efficacy of botulinum toxin with variable results; thus, there is currently no consensus on botulinum toxin dose or injection sites. OBJECTIVE: This study aimed to systematically analyze trials studying the efficacy of botulinum toxin for treatment of chronic anal fissure to identify an optimum dosage and injection regimen. DATA SOURCES: A comprehensive review of the literature was conducted according to PRISMA guidelines...
September 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27468181/anorectal-emergencies
#15
Varut Lohsiriwat
Anorectal emergencies refer to anorectal disorders presenting with some alarming symptoms such as acute anal pain and bleeding which might require an immediate management. This article deals with the diagnosis and management of common anorectal emergencies such as acutely thrombosed external hemorrhoid, thrombosed or strangulated internal hemorrhoid, bleeding hemorrhoid, bleeding anorectal varices, anal fissure, irreducible or strangulated rectal prolapse, anorectal abscess, perineal necrotizing fasciitis (Fournier gangrene), retained anorectal foreign bodies and obstructing rectal cancer...
July 14, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27459618/-perianal-infection-in-patients-with-hemoblastosis-risk-factors-and-possibilities-of-prevention
#16
S V Shtyrkova, G A Klyasova, K I Danishyan, E G Gemdzhyan, V V Troitskaya, S R Karagyulyan
AIM: to identify poor prognostic factors for perianal infection (PI) in patients with hemoblastosis and to define an effective tactic for preventive and therapeutic measures. SUBJECTS AND METHODS: The prospective study enrolled 72 patients (37 men and 35 women; mean age, 47 years) with hemoblastosis that was complicated by the development of one of the following forms of PI: abscess, infiltrate, multiple ulcers. Different clinical and laboratory characteristics of the patients were examined to identify risk factors for PI...
2016: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/27424014/chronic-anal-fissure-a-comparative-study-of-medical-treatment-versus-surgical-sphincterotomy
#17
Mohammad Reza Motie, Parham Hashemi
To determine whether the medical Treatment of anal fissure can be an effective alternative for surgery Methods: Retrospectively, we randomly selected 190 Patients being treated for anal fissure between the years 2005-2010 in 3 equal groups: group A: Patients who received medical treatment with topical nitroglycerin, group B: Patient treated with topical diltiazem, and group C: Patients underwent surgery. The results were then correlated with the statistical program SPSS using chi-square test. Main complaints of the patients were first anal pain and then bleeding...
July 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27345059/anal-fissures-and-liquid-paraffin
#18
COMMENT
Hugh Martin
No abstract text is available yet for this article.
June 2016: Australian Prescriber
https://www.readbyqxmd.com/read/27279645/natural-treatments-for-fissure-in-ano-used-by-traditional-persian-scholars-razi-rhazes-and-ibn-sina-avicenna
#19
Ali Reza Derakhshan
Most cases of chronic fissure do not respond to medical treatment. Razi and Ibn Sina were 2 of the best-known scientists of ancient Persia. The purpose of this study was to find out new scientific evidence in modern medicine about their recommendations, in order to find certain clues to conduct useful researches in the future. First, treatments of anal fissure mentioned by Razi and Ibn Sina were reviewed. Then, literature search was made in electronic databases including PubMed, Scopus, and Google Scholar. Management of anal fissure according to Razi's and Ibn Sina's practices is done based on 3 interventions: lifestyle modifications, drug treatments, and manual procedures...
June 8, 2016: Journal of Evidence-based Complementary & Alternative Medicine
https://www.readbyqxmd.com/read/27258460/constipation-prevalence-and-associated-factors-in-adults-living-in-londrina-southern-brazil
#20
Fernanda Mateus Queiroz Schmidt, Vera Lúcia Conceição de Gouveia Santos, Rita de Cássia Domansky, José Marcio Jorge Neves
The aims of this study were to estimate the prevalence of constipation and identify associated factors among adults living in an urban area in Londrina, Brazil. This was a secondary analysis of an epidemiological, population-based study on bowel habit performed in 2008 with 2,162 individuals selected through cluster sampling. Interviews were administered using a sociodemographic questionnaire and the adapted and validated Brazilian version of the "Bowel Function in the Community" tool. Variables from the original database were used to determine the prevalence of constipation (according to the Rome Criteria III) and associated factors...
May 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
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