A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis

Detalhes bibliográficos
Autor(a) principal: Porwal,Ashwin
Data de Publicação: 2018
Outros Autores: Gandhi,Paresh, Kulkarni,Deepak
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100073
Resumo: ABSTRACT Anal stricture or stenosis, though uncommon, is disabling condition. It affects the quality of life due to pain, bleeding and difficulty in defecation, incontinence or increased frequency. It occurs when the normally pliable anoderm is replaced with fibrotic connective tissue, leading to an abnormally tight and inelastic anal canal. Mostly it occurs secondary to trauma, iatrogeny, inflammatory diseases, radiation or neoplasia. The treatment of anal stricture is generally considered to be difficult and various methods of treatment have been suggested. It is often unresponsive to conservative medical management. The surgical procedures such as dilatations and anoplasty are associated with significant complications which make it a difficult treatment challenge. Several good treatment options are available currently. Through this case, we report and explore a new medical treatment for anal strictures with four quadrant laser sphincterotomy.
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spelling A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosisAnal stenosisAnodermLaser sphincterotomyAnal strictureAnal canal surgeryABSTRACT Anal stricture or stenosis, though uncommon, is disabling condition. It affects the quality of life due to pain, bleeding and difficulty in defecation, incontinence or increased frequency. It occurs when the normally pliable anoderm is replaced with fibrotic connective tissue, leading to an abnormally tight and inelastic anal canal. Mostly it occurs secondary to trauma, iatrogeny, inflammatory diseases, radiation or neoplasia. The treatment of anal stricture is generally considered to be difficult and various methods of treatment have been suggested. It is often unresponsive to conservative medical management. The surgical procedures such as dilatations and anoplasty are associated with significant complications which make it a difficult treatment challenge. Several good treatment options are available currently. Through this case, we report and explore a new medical treatment for anal strictures with four quadrant laser sphincterotomy.Sociedade Brasileira de Coloproctologia2018-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100073Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2017.09.419info:eu-repo/semantics/openAccessPorwal,AshwinGandhi,PareshKulkarni,Deepakeng2018-03-06T00:00:00Zoai:scielo:S2237-93632018000100073Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2018-03-06T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
title A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
spellingShingle A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
Porwal,Ashwin
Anal stenosis
Anoderm
Laser sphincterotomy
Anal stricture
Anal canal surgery
title_short A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
title_full A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
title_fullStr A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
title_full_unstemmed A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
title_sort A novel four quadrant laser sphincterotomy for idiopathic severe anal stenosis
author Porwal,Ashwin
author_facet Porwal,Ashwin
Gandhi,Paresh
Kulkarni,Deepak
author_role author
author2 Gandhi,Paresh
Kulkarni,Deepak
author2_role author
author
dc.contributor.author.fl_str_mv Porwal,Ashwin
Gandhi,Paresh
Kulkarni,Deepak
dc.subject.por.fl_str_mv Anal stenosis
Anoderm
Laser sphincterotomy
Anal stricture
Anal canal surgery
topic Anal stenosis
Anoderm
Laser sphincterotomy
Anal stricture
Anal canal surgery
description ABSTRACT Anal stricture or stenosis, though uncommon, is disabling condition. It affects the quality of life due to pain, bleeding and difficulty in defecation, incontinence or increased frequency. It occurs when the normally pliable anoderm is replaced with fibrotic connective tissue, leading to an abnormally tight and inelastic anal canal. Mostly it occurs secondary to trauma, iatrogeny, inflammatory diseases, radiation or neoplasia. The treatment of anal stricture is generally considered to be difficult and various methods of treatment have been suggested. It is often unresponsive to conservative medical management. The surgical procedures such as dilatations and anoplasty are associated with significant complications which make it a difficult treatment challenge. Several good treatment options are available currently. Through this case, we report and explore a new medical treatment for anal strictures with four quadrant laser sphincterotomy.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100073
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100073
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2017.09.419
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
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reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
repository.mail.fl_str_mv ||sbcp@sbcp.org.br
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