Anorectal Complaints: Hemorrhoids, Fissures, Abscesses, Fistulae

Jamshidi, Ramin

doi:10.1055/s-0037-1609026

Cited by 26 publications

(19 citation statements)

References 13 publications

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“…Relaxation of these structures with aging is considered to increase the incidence of HD 3. This occurrence, according to Jamshidi et al16, explains the reason as to why HD is not commonly seen in children aged below 10 years. However, in our study, 32.1% of the patients were aged below 10 years and there are also several case reports in the literature presenting children aged below 10 years 2,6,7…”

Section: Discussionmentioning

confidence: 99%

External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors

et al. 2019

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Objective: Hemorrhoidal disease (HD), though mostly seen in adults, has recently emerged as a common problem among children. However, the diagnosis and treatment of HD in children is mostly based on the data obtained in adult studies. In this study, we aimed to evaluate risk factors, diagnostic and treatment modalities in the children diagnosed with external HD. Methods: The study was conducted at Sakarya University Medical School Pediatric Surgery Department between January 2012 and July 2018. We reviewed children who were diagnosed as having HD at Pediatric Surgery clinic. Age, gender, presenting symptoms, physical examination findings, risk factors, and treatment outcomes were evaluated for each patient. Results: The study included 56 patients with a mean age of 140.8±45.2 months. The patients comprised 48 (85.7%) boys and 8 (14.3%) girls. Constipation and a positive family history were the most common risk factor (n=33; 58.9%, n=29; 51.8%, respectively). Conservative treatment was performed in 53 (94.6%) patients. Recurrence was observed in 5 (8.9%) and skin tag was detected in 6 (10.7%) patients. Conclusions: External HD mostly occurs in boys in their second decade of life. Positive family history and constipation were the most common risk factors in our patients. Conservative treatment is sufficient for the management of external HD in children because of its low recurrence rates. doi: https://doi.org/10.12669/pjms.35.3.442 How to cite this:Yildiz T, Aydin DB, Ilce Z, Yucak A, Karaaslan E. External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.442 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors

et al. 2019

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“…However, the direct trauma of the passage of hard stool and the severe spasm of the internal sphincter that lead to ischemia to the affected area are contemplated to be causes of fissure. 8,9 Fissure with a short period of symptoms such as anorectal pain and bleeding are considered acute fissure, while symptoms with longer duration with chronicity signs such as sentinel tag, hypertrophied base fiber and exposure of the internal sphincter and external sphincter muscle are considered to be chronic fissure. 14, 15,16 Most surgeons and published expert opinion describe AF as a common disease, but systematically collected data on AF are not available.…”

Section: Discussionmentioning

confidence: 99%

“…7 Fissure at the lateral and multiple fissures are often considered atypical, as these findings can be associated with HIV infection, ulcerative colitis, Crohn's disease, neoplasm and tuberculosis. 8,9,10 An anal fissure is a common disorder in this region; however, it lacks scientific documentation. In the US only, there are approximately 342000 new AF cases diagnosed in US each year.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Seasonal Pattern of Anal Fissure in Rural Hospital of Nepal

Menyangbo

Bhatta²,

Subedi

2020

J. KIST Med. Coll.

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Introduction: Anal Fissure (AF) is a longitudinal tear in the epithelium of the anoderm within the anal canal. It is associated with symptoms of severe anal pain and rectal bleeding. While searching for literatures on AF prevalence in Nepal, there were hardly any systematic published studies except a few studies that mostly focused in the treatment and outcome of the disease. The objective of the present study is to report on AF prevalence with its seasonal pattern among anorectal disorder patients from this rural part of Nepal. Methods: This was a retrospective cross-sectional study from June 2015 to March 2020 at the Karnali Academy of Health Sciences. The demographic characteristics features of anal fissure were recorded. Cases included all hemorrhoids, perianal abscess and fistula in Ano with a bleeding history. Previous fistulectomy, biopsy-proven tuberculosis and malignancy were excluded. Statistical analysis was performed using SPSS 16. Results: A total of 1768 patients with ano-rectal disorders visited surgical outpatient department OPD) during the study period. Of 1768 patients, 415 patients (23.47%) had anal fissures. The mean age of patients was 29.02±13.58 years. There were 176 male patients (42.4%) and 239 (57.6%) patients were female. The majority (n=148; 35.7%) of patients were in the group 20 to 29 years. Most of the patients with anal fissure visited during winter time (42.7%). Conclusion: Anal fissure is common anorectal problem, with slight female predominance. The majority was found to affect the adolescent group

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“…Pediatric anorectal disorders are common, almost always benign processes and rarely associated with an underlying pathology (Jamshidi 2018). Pediatric anorectal disorders include a diverse group of functional and anatomical defects that may cause significant discomfort and disability.…”

Section: Introductionmentioning

confidence: 99%

Disorders of Anus and Rectum

Pakarinen¹,

Rintala²,

Koivusalo³

2020

Pediatric Surgery

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Pediatric anorectal disorders include a variety of relatively common functional and anatomical defects. Around 10% of children are brought to medical attention because of an anorectal disorder. Besides constipation, other typical complaints include blood in the stool, pain, and specific local anal findings. It is essential that pediatric surgeons are familiar with the pathophysiology and management of these diverse and usually relatively benign conditions, as these problems are not uncommon and are regularly seen in emergency room and outpatient clinics.

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Anorectal Complaints: Hemorrhoids, Fissures, Abscesses, Fistulae

Cited by 26 publications

References 13 publications

External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors

External hemorrhoidal disease in child and teenage: Clinical presentations and risk factors

Prevalence and Seasonal Pattern of Anal Fissure in Rural Hospital of Nepal

Disorders of Anus and Rectum

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