Gupta PJ

Idioma: Ingles.
Referencias bibliográficas: 16
Paginas: 21-31
Archivo PDF: 86.49 Kb.

RESUMEN

Anorectal lesions are quite frequently encountered in the family practice setup. Patients usually present with symptoms like pain, bleeding, pruritus, and constipation. It is expected that each of such cases are carefully examined and investigated because more complicated pathologies like inflammatory bowel disease and malignancy that have identical symptoms may get missed or remain undiagnosed. A patient normally looks for a conservative or a quick office procedure to get rid of his agony. Many new pharmacological therapies and a handful of simple and safe office procedures have emerged in the last decade for treatment of ano-rectal lesions. A judicial application of these techniques could tackle most of the common proctological problems. An attempt has been made in the following pages to describe symptoms, diagnosis, and therapeutic modalities of common anorectal disorders. Complicated or advanced pathologies, however, require an expert opinion and it is desirable that such patients are referred to the care of colorectal clinics.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Gupta PJ. Treatment trends in anal fissures. Bratisl Lek Listy 2004; 105: 30-34.

2. Hyman N. Incontinence after lateral internal sphincterotomy: a prospective study and quality of life assessment. Dis Colon Rectum 2004; 47: 35-38.

3. Orlay G. Haemorrhoids-a review. Aust Fam Physician 2003; 32: 523-526.

4. Lienert M, Ulrich B. Doppler-guided ligation of the hemorrhoidal arteries. Dtsch Med Wochenschr 2004; 129: 947-950.

5. Gupta PJ. Novel technique: Radiofrequency coagulation-a treatment alternative for early-stage hemorrhoids. Med Gen Med 2002; 4: 1.

6. Pernice LM, Bartalucci B, Beucini L, Borri A, Catarzi S, Kroning K. Early and late (ten years) experience with circular stapler hemorrhoidectomy. Dis Colon Rectum 2001; 44: 836-841.

7. Janicke DM, Pundt MR. Anorectal disorders. Emerg Med Clin North Am 1996; 14: 757-788.

8. Kumar N, Paulvannan S, Billings PJ. Rubber band ligation of haemorrhoids in the out-patient clinic. Ann R Coll Surg Engl 2002; 84: 172-174.

9. Kamm MA. Diagnostic, pharmacological, surgical, and behavioral developments in benign anorectal disease. Eur J Surg Suppl 1998; 582: 119-123.

10. Youssef NN, Di Lorenzo C. Childhood constipation: evaluation and treatment. J Clin Gastroenterol 2001; 33: 199-205.

11. Andiran F, Dayi S, Mete E. Cows milk consumption in constipation and anal fissure in infants and young children. J Paediatr Child Health 2003; 39: 329-331.

12. Mignon M, Madelenat P. Anal fissure and thrombosed external hemorrhoids before and after delivery. Dis Colon Rectum 2002; 45: 650-655.

13. Abramowitz L, Batallan A. Epidemiology of anal lesions (fissure and thrombosed external hemorrhoid) during pregnancy and post-partum. Gynecol Obstet Fertil 2003; 31: 546-549.

14. Akhtar AJ. Lower gastrointestinal bleeding in elderly patients. J Am Med Dir Assoc 2003; 4: 320-322.

15. Smith RB, Moodie J. Comparative efficacy and tolerability of two ointment and suppository preparations (‘Uniroid’ and ‘Proctosedyl’) in the treatment of second degree haemorrhoids in general practice. Curr Med Res Opin 1988; 11: 34-40.

16. Gorfine SR. Treatment of benign anal disease with topical nitroglycerine. Dis Colon Rectum 1995; 38: 456-457.