Anorectal disorders

Sohn, Norman; Weinstein, Michael A.; Robbins, Richard

doi:10.1016/s0011-3840(83)80006-9

Cited by 7 publications

(1 citation statement)

References 123 publications

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“…1A,B): 1) those often referred to as “elephant ears,” and 2) those typically arising from a healed anal fissure, ulcer, or hemorrhoid 1. Type 1 are more typically characteristic of CD in contrast to ulcerative colitis (UC), although type 2 may also be seen in either disease or may overlap in appearance with typical painless external hemorrhoids, prolapsed internal hemorrhoids, and occasionally with type 1 whether occurring in association with CD or not 1, 2…”

Section: Characteristic Features Of Anal Skin Tags Of Crohn's Diseasementioning

confidence: 99%

Anal skin tags in inflammatory bowel disease: New observations and a clinical review

Bonheur

Braunstein

Korelitz

et al. 2008

Inflammatory Bowel Diseases

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We provide photographs with the most characteristic features of AST and attempt to separate elephant ears (type 1) from less typical AST (type 2) in CD. Our study confirms previous reports that AST are more commonly found in association with CD as compared with UC and more so in the presence of disease limited to the colon as compared to disease elsewhere in the bowel. Our observations support the diagnostic significance of AST heralding the diagnosis of CD when they are discovered on physical exam, especially in young people with diarrhea, abdominal pain, and/or growth retardation.

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Section: Characteristic Features Of Anal Skin Tags Of Crohn's Diseasementioning

confidence: 99%

Anal skin tags in inflammatory bowel disease: New observations and a clinical review

Bonheur

Braunstein

Korelitz

et al. 2008

Inflammatory Bowel Diseases

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Keyhole deformity

Wp¹

1985

Diseases of the Colon &Amp; Rectum

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The purpose of this paper is to show whether there is a keyhole deformity, its surgical significance, and how often it occurred following surgery for ulcer-in-ano. To do this, a retrospective study, over a 16-year period, of all patients admitted to the Ferguson Clinic with chief complaints of anal incontinence was undertaken. Of this group of patients, seven were identified as having questionable keyhole deformities, three of whom probably had classic defects. There were six females and one male. Only two of the deformities were associated with surgery for ulcer-in-ano. One of these was easily repaired and the other patient had a full rectal prolapse. In addition, of 186 patients undergoing fistula surgery, 77 who had posterior midline transsphincteric fistulas were studied and ten of these patients went on to complete recovery without any permanent problems resulting from severance of the sphincter. It can generally be concluded that, although there is such a defect as the keyhole deformity, it occurs only rarely, especially after surgery for ulcer-in-ano, and that many times it is not associated with anal incontinence.

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Fissurectomy with superficial midline sphincterotomy

Bone

Culp

Spencer

et al. 1984

Diseases of the Colon &Amp; Rectum

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A series of 121 patients with chronic fissure-in-ano who underwent fissurectomy with superficial midline sphincterotomy was studied. The mean follow-up was 8.1 years. Minor problems with anal competence occurred after the operation in 30 patients (25 per cent). Within two months, this problem had resolved in all patients. One patient (0.8 per cent) had a true recurrence. Five patients (4.1 per cent) had recurrent acute anal abrasions as the result of passage of a hard stool. These healed spontaneously. Twelve patients (9.9 per cent) had fragile scars, but this was a significant problem in only five (4.1 per cent). No patient had significant stricture formation, keyhole deformities, or major persistent problems with anal competence. The patients graded their operations with regard to satisfaction: 118 (97.5 per cent) reported satisfactory results and three (2.5 per cent) reported unsatisfactory results. This study shows that fissurectomy with superficial midline sphincterotomy is a viable approach to the surgical management of chronic fissure-in-ano.

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Anorectal disorders

Cited by 7 publications

References 123 publications

Anal skin tags in inflammatory bowel disease: New observations and a clinical review

Anal skin tags in inflammatory bowel disease: New observations and a clinical review

Keyhole deformity

Fissurectomy with superficial midline sphincterotomy

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