Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures
Objectives The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures. Methods We conducted a prospective case‐control study of 100 consecutive patients of any age and both sexe...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2014-11, Vol.33 (11), p.1981-1989 |
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| container_end_page | 1989 |
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| container_issue | 11 |
| container_start_page | 1981 |
| container_title | Journal of ultrasound in medicine |
| container_volume | 33 |
| creator | Bedair, Elsaid M. El Hennawy, Hany M. Moustafa, Ahmed Abdu Meki, Gad Youssef Bosat, Bosat Elwany |
| description | Objectives
The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures.
Methods
We conducted a prospective case‐control study of 100 consecutive patients of any age and both sexes with chronic anal fissures who presented to a colorectal clinic between January 2012 and August 2013 (group A) and 50 healthy volunteers (group B).
Results
The most common patterns of radiologic changes to anal sphincters associated with chronic anal fissures were circumferential thickening of the anal sphincter complex in 5 patients (5%), circumferential thickening of the internal anal sphincter in 3 patients (3%), preferential thickening of the internal anal sphincter at the 6‐o'clock position in 80 patients (80%) and the 12‐o'clock position in 7 patients (7%), preferential thickening of the internal and external anal sphincters in 3 patients (3%), and thinning of the internal anal sphincter in 2 patients (2%).
Conclusions
Chronic anal fissures cause differential thickening of both internal and external anal sphincters, with a trend toward increased thickness in relation to the site of the fissure. Routine preoperative transperineal sonography for patients with chronic anal fissures is recommended, and it is mandatory in high‐risk patients. |
| doi_str_mv | 10.7863/ultra.33.11.1981 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1808702792</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1808702792</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3861-2feca9e84f32ba24f6d23c8fdda082df1410622a3cb91fdd376658fed298924c3</originalsourceid><addsrcrecordid>eNqFkT1PwzAQhi0EoqWwM6GMLAk-23GcgaGqWj5UxEA7W67j0KDECXYC9N-TtpS1051Oz70nPYfQNeAoEZzedWXrVERpBBBBKuAEDSGOcZhyoKdoiEkiQkbSZIAuvP_AmGBI2DkakJhSzgQfosXCKesb4wprVBm81bZ-d6pZFzoY2-2gb61ujQsmddWU5ieYfqmyU21R26CwwWTtanuAZ4X3nTP-Ep3lqvTm6q-O0HI2XUwew_nrw9NkPA81FRxCkhutUiNYTslKEZbzjFAt8ixTWJAsBwaYE6KoXqXQT2nCeSxyk5FUpIRpOkK3-9zG1Z-d8a2sCq9NWSpr6s5LEFgkvYSUHEc5xAljgiU9iveodrX3zuSycUWl3EYCllvtcqddUioB5FZ7v3Lzl96tKpP9Lxw898D9HvguSrM5Giifly_9rxilALsDv1R5keY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1615744847</pqid></control><display><type>article</type><title>Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Bedair, Elsaid M. ; El Hennawy, Hany M. ; Moustafa, Ahmed Abdu ; Meki, Gad Youssef ; Bosat, Bosat Elwany</creator><creatorcontrib>Bedair, Elsaid M. ; El Hennawy, Hany M. ; Moustafa, Ahmed Abdu ; Meki, Gad Youssef ; Bosat, Bosat Elwany</creatorcontrib><description>Objectives
The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures.
Methods
We conducted a prospective case‐control study of 100 consecutive patients of any age and both sexes with chronic anal fissures who presented to a colorectal clinic between January 2012 and August 2013 (group A) and 50 healthy volunteers (group B).
Results
The most common patterns of radiologic changes to anal sphincters associated with chronic anal fissures were circumferential thickening of the anal sphincter complex in 5 patients (5%), circumferential thickening of the internal anal sphincter in 3 patients (3%), preferential thickening of the internal anal sphincter at the 6‐o'clock position in 80 patients (80%) and the 12‐o'clock position in 7 patients (7%), preferential thickening of the internal and external anal sphincters in 3 patients (3%), and thinning of the internal anal sphincter in 2 patients (2%).
Conclusions
Chronic anal fissures cause differential thickening of both internal and external anal sphincters, with a trend toward increased thickness in relation to the site of the fissure. Routine preoperative transperineal sonography for patients with chronic anal fissures is recommended, and it is mandatory in high‐risk patients.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/ultra.33.11.1981</identifier><identifier>PMID: 25336486</identifier><language>eng</language><publisher>England: American Institute of Ultrasound in Medicine</publisher><subject>Adolescent ; Adult ; Anal Canal - diagnostic imaging ; Case-Control Studies ; chronic anal fissure ; Chronic Disease ; Female ; Fissure in Ano - diagnostic imaging ; gastrointestinal ultrasound ; Humans ; Image Interpretation, Computer-Assisted - methods ; Male ; Middle Aged ; Perineum - diagnostic imaging ; Reproducibility of Results ; Sensitivity and Specificity ; sphincterotomy ; transperineal sonography ; Ultrasonography ; Young Adult</subject><ispartof>Journal of ultrasound in medicine, 2014-11, Vol.33 (11), p.1981-1989</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><rights>2014 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3861-2feca9e84f32ba24f6d23c8fdda082df1410622a3cb91fdd376658fed298924c3</citedby><cites>FETCH-LOGICAL-c3861-2feca9e84f32ba24f6d23c8fdda082df1410622a3cb91fdd376658fed298924c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.7863%2Fultra.33.11.1981$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.7863%2Fultra.33.11.1981$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25336486$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bedair, Elsaid M.</creatorcontrib><creatorcontrib>El Hennawy, Hany M.</creatorcontrib><creatorcontrib>Moustafa, Ahmed Abdu</creatorcontrib><creatorcontrib>Meki, Gad Youssef</creatorcontrib><creatorcontrib>Bosat, Bosat Elwany</creatorcontrib><title>Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures.
Methods
We conducted a prospective case‐control study of 100 consecutive patients of any age and both sexes with chronic anal fissures who presented to a colorectal clinic between January 2012 and August 2013 (group A) and 50 healthy volunteers (group B).
Results
The most common patterns of radiologic changes to anal sphincters associated with chronic anal fissures were circumferential thickening of the anal sphincter complex in 5 patients (5%), circumferential thickening of the internal anal sphincter in 3 patients (3%), preferential thickening of the internal anal sphincter at the 6‐o'clock position in 80 patients (80%) and the 12‐o'clock position in 7 patients (7%), preferential thickening of the internal and external anal sphincters in 3 patients (3%), and thinning of the internal anal sphincter in 2 patients (2%).
Conclusions
Chronic anal fissures cause differential thickening of both internal and external anal sphincters, with a trend toward increased thickness in relation to the site of the fissure. Routine preoperative transperineal sonography for patients with chronic anal fissures is recommended, and it is mandatory in high‐risk patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anal Canal - diagnostic imaging</subject><subject>Case-Control Studies</subject><subject>chronic anal fissure</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Fissure in Ano - diagnostic imaging</subject><subject>gastrointestinal ultrasound</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Perineum - diagnostic imaging</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>sphincterotomy</subject><subject>transperineal sonography</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkT1PwzAQhi0EoqWwM6GMLAk-23GcgaGqWj5UxEA7W67j0KDECXYC9N-TtpS1051Oz70nPYfQNeAoEZzedWXrVERpBBBBKuAEDSGOcZhyoKdoiEkiQkbSZIAuvP_AmGBI2DkakJhSzgQfosXCKesb4wprVBm81bZ-d6pZFzoY2-2gb61ujQsmddWU5ieYfqmyU21R26CwwWTtanuAZ4X3nTP-Ep3lqvTm6q-O0HI2XUwew_nrw9NkPA81FRxCkhutUiNYTslKEZbzjFAt8ixTWJAsBwaYE6KoXqXQT2nCeSxyk5FUpIRpOkK3-9zG1Z-d8a2sCq9NWSpr6s5LEFgkvYSUHEc5xAljgiU9iveodrX3zuSycUWl3EYCllvtcqddUioB5FZ7v3Lzl96tKpP9Lxw898D9HvguSrM5Giifly_9rxilALsDv1R5keY</recordid><startdate>201411</startdate><enddate>201411</enddate><creator>Bedair, Elsaid M.</creator><creator>El Hennawy, Hany M.</creator><creator>Moustafa, Ahmed Abdu</creator><creator>Meki, Gad Youssef</creator><creator>Bosat, Bosat Elwany</creator><general>American Institute of Ultrasound in Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201411</creationdate><title>Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures</title><author>Bedair, Elsaid M. ; El Hennawy, Hany M. ; Moustafa, Ahmed Abdu ; Meki, Gad Youssef ; Bosat, Bosat Elwany</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3861-2feca9e84f32ba24f6d23c8fdda082df1410622a3cb91fdd376658fed298924c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anal Canal - diagnostic imaging</topic><topic>Case-Control Studies</topic><topic>chronic anal fissure</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Fissure in Ano - diagnostic imaging</topic><topic>gastrointestinal ultrasound</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Perineum - diagnostic imaging</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>sphincterotomy</topic><topic>transperineal sonography</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bedair, Elsaid M.</creatorcontrib><creatorcontrib>El Hennawy, Hany M.</creatorcontrib><creatorcontrib>Moustafa, Ahmed Abdu</creatorcontrib><creatorcontrib>Meki, Gad Youssef</creatorcontrib><creatorcontrib>Bosat, Bosat Elwany</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bedair, Elsaid M.</au><au>El Hennawy, Hany M.</au><au>Moustafa, Ahmed Abdu</au><au>Meki, Gad Youssef</au><au>Bosat, Bosat Elwany</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2014-11</date><risdate>2014</risdate><volume>33</volume><issue>11</issue><spage>1981</spage><epage>1989</epage><pages>1981-1989</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures.
Methods
We conducted a prospective case‐control study of 100 consecutive patients of any age and both sexes with chronic anal fissures who presented to a colorectal clinic between January 2012 and August 2013 (group A) and 50 healthy volunteers (group B).
Results
The most common patterns of radiologic changes to anal sphincters associated with chronic anal fissures were circumferential thickening of the anal sphincter complex in 5 patients (5%), circumferential thickening of the internal anal sphincter in 3 patients (3%), preferential thickening of the internal anal sphincter at the 6‐o'clock position in 80 patients (80%) and the 12‐o'clock position in 7 patients (7%), preferential thickening of the internal and external anal sphincters in 3 patients (3%), and thinning of the internal anal sphincter in 2 patients (2%).
Conclusions
Chronic anal fissures cause differential thickening of both internal and external anal sphincters, with a trend toward increased thickness in relation to the site of the fissure. Routine preoperative transperineal sonography for patients with chronic anal fissures is recommended, and it is mandatory in high‐risk patients.</abstract><cop>England</cop><pub>American Institute of Ultrasound in Medicine</pub><pmid>25336486</pmid><doi>10.7863/ultra.33.11.1981</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0278-4297 |
| ispartof | Journal of ultrasound in medicine, 2014-11, Vol.33 (11), p.1981-1989 |
| issn | 0278-4297 1550-9613 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Anal Canal - diagnostic imaging Case-Control Studies chronic anal fissure Chronic Disease Female Fissure in Ano - diagnostic imaging gastrointestinal ultrasound Humans Image Interpretation, Computer-Assisted - methods Male Middle Aged Perineum - diagnostic imaging Reproducibility of Results Sensitivity and Specificity sphincterotomy transperineal sonography Ultrasonography Young Adult |
| title | Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures |
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