[Anal fissure].
Chronic anal fissure is an ischemic ulcer related to hypertonic sphincter. Pain and bleeding are the most common complaints. In first instance, treatment combines laxatives, analgesic and ointments. Topical nitrates represent a challenging alternative to surgery where non-specific approaches failed.
Bouguen
Guillaume
G
Service des maladies de l'appareil digestif CHU Rennes, hôpital Pontchaillou, 35033 Rennes Cedex, France.
Eléouet
Marianne
M
Favreau
Charlotte
C
Siproudhis
Laurent
L
D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000008:administration & dosage / Q000627:therapeutic use; D002908:Chronic Disease; D002921:Cicatrix; D005401:Fissure in Ano / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D054368:Laxatives / Q000008:administration & dosage / Q000627:therapeutic use; D009824:Ointments; D012008:Recurrence
D000700:Analgesics; D002121:Calcium Channel Blockers; D054368:Laxatives; D009824:Ointments; D019274:Botulinum Toxins, Type A