Secondary anal fissures: a pain in the a**
| Journal | Volume 86 - 2023 |
| Issue | Fasc.1 - Reviews |
| Author(s) | H. Ruymbeke 1, J. Geldof 2, D. De Looze 2, M.A. Denis 3, H. De Schepper 4, P. Dewint 4 5, I. Gijsen 6, M. Surmont 7, J. Wyndaele 8, P. Roelandt 8 |
| Full article |
 PAGES 58-67 VIEW FREE PDF |
| DOI | 10.51821/86.1.11310 |
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Affiliations: (1) Department of Gastroenterology and Hepatology, VITAZ, Sint-Niklaas, Belgium
(2) Department of Gastroenterology and Hepatology, University Hospital Ghent, Ghent, Belgium (3) Department of Gastroenterology and Hepatology, Cliniques Universitaires Saint-Luc, Brussels, Belgium (4) Department of Gastroenterology and Hepatology, University Hospital Antwerp, Belgium (5) Department of Gastroenterology and Hepatology, Maria Middelares Hospital, Ghent, Belgium (6) Department of Gastroenterology and Hepatology, Noorderhart Hospital, Pelt, Belgium (7) Department of Gastroenterology and Hepatology, University Hospital Brussels, Brussels, Belgium (8) Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium |
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An anal fissure is a painful tear of the sensitive anoderm, distally from the dentate line. It is a prevalent disorder and impairs quality of life dramatically. Typical or primary fissures are associated with constipation and mostly located at the posterior midline. About 1% of fissures are atypical in appearance and are generally secondary in nature. These secondary fissures should arouse attention and require further exploration for underlying conditions, such as Crohn’s disease, malignancy, trauma or venereal infections. The aim of this manuscript is to provide a comprehensive review on the clinical aspects, evaluation and treatment of secondary anal fissures. Keywords: anal fissure, secondary fissure, atypical fissure, anal pain. |
| The authors declare that they have no conflict of interest. |
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© Acta Gastro-Enterologica Belgica. PMID 36842176 |
