Secondary anal fissures: a pain in the a*.

Ruymbeke, Hannes;Geldof, Jeroen;De Looze, Danny;Denis, Marie Armelle;Roelandt, Philp;et.al.
(2023) Acta Gastro-Enterologica Belgica — Vol. 86, n° 1, p. 58-67 (2023)

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Authors
  • Ruymbeke, Hannes
    Author
  • Geldof, Jeroen
    Author
  • De Looze, Danny
    Author
  • Denis, Marie ArmelleUCLouvain
    Author
  • Roelandt, Philp
    Author
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Abstract
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.
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Citations

Ruymbeke, H., Geldof, J., De Looze, D., Denis, M. A., De Schepper, H., Dewint, P., Gijsen, I., Surmont, M., Wyndaele, J., & Roelandt, P. (2023). Secondary anal fissures: a pain in the a*. Acta Gastro-Enterologica Belgica, 86(1), 58-67. https://doi.org/10.51821/86.1.11310 (Original work published 2023)