Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- dor ao defecar
- sensação de dilaceração na passagem das fezes
- sangue vivo nas fezes ou no papel
- espasmo anal
Outros fatores diagnósticos
- sintomas intermitentes
- plicoma sentinela
- fissura visível na retração das nádegas
Investigações diagnósticas
Algoritmo de tratamento
Colaboradores
Autores
Nivedh Paluvoi, MD
Assistant Professor of Surgery
Colorectal Surgery
Miller School of Medicine
University of Miami
Coral Gables
FL
Declarações
NP declares that he has no competing interests.
Agradecimentos
Dr Nivedh Paluvoi would like to gratefully acknowledge Dr John R. T. Monson, Dr John Scholefield, and Dr Jonathan Lund, previous contributors to this topic. JRTM declares that he has no competing interests. JS and JL are authors of a number of references cited in this topic.
Revisores
Stephen H. Leveson, MD, FRCS
Professor
York Hospital
York
UK
Declarações
SHL declares that he has no competing interests.
Steven Brown, MD, FRCS
Consultant Colorectal Surgeon
Northern General Hospital
Sheffield
UK
Declarações
SB declares that he has no competing interests.
Jan Rakinic, MD, FACS, FASCRS
Associate Professor of Surgery
Chief
Section of Colorectal Surgery
Southern Illinois University School of Medicine
Springfield
IL
Declarações
JR is an author of a reference cited in this topic.
Referências
Principais artigos
Gilani A, Tierney G. Chronic anal fissure in adults. BMJ. 2022 Jan 12;376:e066834.
Lund JN, Nystrom PO, Coremans G, et al. An evidence-based treatment algorithm for anal fissure. Tech Coloproctol. 2006 Oct;10(3):177-80. Resumo
American Gastroenterological Association. American Gastroenterological Association medical position statement: diagnosis and care of patients with anal fissure. Gastroenterology. 2003 Jan;124(1):233-4.Texto completo
Davids JS, Hawkins AT, Bhama AR, et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of anal fissures. Dis Colon Rectum. 2023 Feb 1;66(2):190-9.Texto completo
Menteş BB, Irkörücü O, Akin M, et al. Comparison of botulinum toxin injection and lateral internal sphincterotomy for the treatment of chronic anal fissure. Dis Colon Rectum. 2003 Feb;46(2):232-7. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível aqui.
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