Alfaro MCG, Rico GGA, Carrillo CM, Bautista AMA, Palacios RJA

Idioma: Español
Referencias bibliográficas: 34
Paginas: 75-78
Archivo PDF: 44.19 Kb.

RESUMEN

La fisura anal es un desgarro lineal en el canal anal distal por debajo de la línea dentada. Es un trastorno común que afecta a todos los grupos por edad, pero es más comúnmente observado en gente joven y sana. La patología proctológica ha tenido mucho auge tecnológico, actualmente la toxina botulínica parece tener un papel importante en mejorar los índices de curación de los pacientes. Su papel en mejorar la hipertonía, ha mostrado resultados alentadores en todo el mundo, en esta revisión se comentan los estudios que han arrojado las ventajas y complicaciones relacionadas a la inyección de la neurotoxina en el esfínter anal. Estos estudios muestran de qué forma la toxina disminuye el tono sin complicaciones permanentes para los pacientes, siendo una alternativa válida para evitar los costos y riesgos de la cirugía.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Bennett RC, Goligher JC. Results of internal sphincterotomy for anal fissure. BMJ 1962:2-1500.

2. Pescatori M, Interisano A. Annual report of the Italian coloproctology units. Techniques in Coloproctology 1995;3:29-30.

3. Lund JN, Scholefield JH. Aetiology and treatment of anal fissure. Br J Surg 1996;83:1335-1344.

4. Recamier JC. Extension, massage et percussion cadancee dans le traitment des contractures musculaires. Revue Medicine Francais et Estranger 1838;1:74.

5. Daniel GL, Longo WE, Vernava AM. 3rd: Pruritus ani: Causes and concerns. Dis Colon Rectum 1994;37:670-674.

6. Mazier WP. Hemorrhoids, fissures, and pruritus ani. Surg Clin North Am 1994;74:1277-1292.

7. Sailer M, Bussen D, Debus ES et al. Quality of life in patients with benign anorectal disorders. Br J Surg 1998;85:1716-1719.

8. Goligher J. Surgery of the Anus, Rectum and Colon. London, Bialliere Tindall.

9. Keighley M, Williams N. Surgery of the Anus, Rectum and Colon. London, WB Saunders.

10. Fleshner PR, Schoetz DJJ, Roberts PL et al. Anal fissure in Crohn’s disease: A plea for aggressive management. Dis Colon Rectum 1995;38:1137-1143.

11. Sweeney JL, Ritchie JK, Nicholls RJ. Anal fissure in Crohn’s disease. Br J Surg 1988;75:-5657.

12. Lock MR, Thomson JP. Fissure-in-ano: The initial management and prognosis. Br J Surg 1977;64:355-358.

13. Frenckner B, Euler CV. Influence of pudendal block on the function of the anal sphincters. Gut 1975;16:482-489.

14. Lester B, Penninckx F, Kerremans R. The composition of anal basal pressure: An in vivo and in vitro study in man. Int J Colorectal Dis 1989;4:118-122.

15. Gibbons CP, Read NW. Anal hypertonia in fissures: Cause or effect? Br J Surg 1986;73:443-445.

16. Keck JO, Staniunas RJ, Coller JA et al. Computer-generated profiles of the anal canal in patients with anal fissure. Dis Colon Rectum 1995;38:72-79.

17. Kuypers HC. Is there really sphincter spasm in anal fissure? Dis Colon Rectum 1983;26:493-494.

18. Minguez M, Tomas-Ridocci M, Garcia A et al. [Pressure of the anal canal in patients with hemorrhoids or with anal fissure: Effect of the topical application of an anesthetic gel]. Rev Esp Enferm Dig 1992;81:103-107.

19. Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology 1974;67:216-220.

20. Brown AC, Sumfest JM, Rozwadowski JV. Histopathology of the internal anal sphincter in chronic anal fissure. Dis Colon Rectum 1989;32:680-683.

21. Abcarian H, Lakshmnam S, Read DR, Roccaforte P. The role of internal sphincter in chronic anal fissure. Dis Colon Rectum 1982;25:525-530.

22. Oh C, Divino CM, Steinhagen RM. Anal fissure. Dis Colon Rectum 1995;38:378-382.

23. Pernikoff BJ, Eisenstat TE, Rubin RJ et al. Reappraisal of partial lateral internal sphincterotomy. Dis Colon Rectum 1994;37: 1291-1295.

24. Jost WH, Schimrigk K. Use of botulinum toxin in anal fissure [letter]. Dis Colon Rectum 1993;36:974.

25. Jost WH, Schimrigk K. Therapy of anal fissure using botulin toxin. Dis Colon Rectum 1994;37:1321-1324.

26. Gui D, Cassetta E, Anastasio G et al. Botulinum toxin for chronic anal fissure. Lancet 1994;344:1127-1128.

27. Jost WH. One hundred cases of anal fissure treated with botulin toxin: Early and long term results. Dis Colon Rectum 1997;40: 1029-1032.

28. Jost WH, Schanne S, Mlitz H et al. Perianal thrombosis following injection therapy into the external anal sphincter using botulinum toxin. Dis Colon Rectum 1995;38:781.

29. Brisinda G, Maria G, Bentivoglio AR et al. A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure. N Engl J Med 1999;341:65-69.

30. Gui D, Cassetta E, Anastasio G et al. Botulinum toxin for chronic anal fissure. Lancet 1994;344:1127-1128.

31. Marla G, Brisinda G, Bentivoglio AR et al. Botulinum toxin injections in the internal anal sphincter for the treatment of chronic anal fissure: Long-term results after two different dosage regimens. Ann Surg 1998;228:664-669.

32. Maria G, Cassetta E, Gui D et al. A comparison of botulinum toxin and saline for the treatment of chronic anal fissure. N Engl J Med 1998;338:217-220.

33. Mason P, Watkins M, Hall H et al. The management of chronic anal fissure-in-ano with botulinum toxin. J R Coll Surg Edinb 1996;41:235-238.

34. Lester B, Penninckx F, Kerremans R. The composition of anal basal pressure: An in vivo and in vitro study in man. Int J Colorectal Dis 1989;4:118-122.