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Anal Stenosis

Anus Steis


Presentation

  • RESULTS: The most common presenting symptoms were constipation and decreasing calibre of stool. The main causes of anal stenosis were previous surgery, neoplasia and fissure.[ncbi.nlm.nih.gov]
  • A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor--a teratoma--was identified.[ncbi.nlm.nih.gov]
  • This article presents the definition, pathophysiology, diagnosis, and treatment of anal stenosis, and methods to prevent it. Copyright 2010 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • We report a case of a neonate, who presented with anal stenosis and an incidental ultrasonographic finding of a presacral mass. Excision and histological examination of the mass confirmed the appearance of a tailgut cyst.[ncbi.nlm.nih.gov]
  • There was no re-operation and only minor complications were present in four patients: three patients with anal pruritus and one patient with temporary incontinence.[ncbi.nlm.nih.gov]
Disability
  • It is a very disabling condition, worsened by the patient's embarrassment, but uncommon. The vast majority of cases are secondary to trauma, iatrogeny, inflammatory diseases, or neoplasia, or occur postradiation.[ncbi.nlm.nih.gov]
  • BACKGROUND: Benign anal stenosis is an uncommon, disabling and incapacitating disease, occurring mainly after anorectal surgery. Both non-surgical and surgical treatments have been devised in the treatment of anal stenosis with good results.[ncbi.nlm.nih.gov]
  • BACKGROUND: Cicatricial stenosis of the anal canal is a disabling complication of anal surgery. Many different surgical techniques have been described for the management of this disorder.[ncbi.nlm.nih.gov]
  • Conclusion Scaring stenosis of the anal canal represents a disabling condition of anal surgery or disease, extremely difficult to manage. Many different surgical techniques have been described.[bmcgeriatr.biomedcentral.com]
  • Things to remember Anal stenosis can be disabling to the person who suffers from it. People sometimes resort to excessive use of laxatives to find temporary relief. Anal stenosis can be a disabling condition, affecting quality of life in many ways.[ddc.musc.edu]
Neonatal Intestinal Obstruction
  • Atwell Neonatal intestinal obstruction. Paediatric Surgery, 1. a ed., pp. 197 [4.] G.K. Pai, P.K. Pai A case of congenital colonic stenosis presenting as rectal prolapse. J Pediatr Surg, 25 (1990), pp. 669-670 [5.] E.J.[analesdepediatria.org]
  • intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Obstruction, obstructed, obstructive rectum K62.4 Occlusion, occluded anus K62.4 Pectenosis[icd10data.com]
Constipation
  • The presence constipation in two generations of this family with YPS suggests that constipation could be a gastrointestinal manifestation of the condition.[consultant360.com]
  • […] picking up miralax today to hopefully keep any constipation away, and on wednesday she has an appointment to get it checked out.[center.babygaga.com]
  • Patients who experience anal stenosis describe constipation, bleeding, pain, and incomplete evacuation. Although often described as a debilitating and difficult problem, several good treatment options are available.[ncbi.nlm.nih.gov]
  • RESULTS: The most common presenting symptoms were constipation and decreasing calibre of stool. The main causes of anal stenosis were previous surgery, neoplasia and fissure.[ncbi.nlm.nih.gov]
  • It comes on slowly so the patient is not fully aware of the narrowing nd attributes it to "constipation".[proctocure.com]
Rectal Pain
Myopathy
  • The differential diagnosis of early-onset constipation includes anatomic defects, myopathies, and Hirschsprung disease.[consultant360.com]
Tingling
  • Frequent sense of meaning. 2, defecation difficulties Loss of elasticity of the anal sphincter, not flexible push excrement, cause defecate difficulty, and is also accompanied by a sense of pain, dull pain or tingling, the pain is strong and durable.[bestchinanews.com]
Overflow Incontinence
  • Overflow incontinence and soiling were corrected by local flaps and skin graft and were maintained by frequent dilatations after downward traction of the whole anus was performed.[ncbi.nlm.nih.gov]

Workup

  • She did an exam and sent us to a pediatric surgeon to do a workup for anal stenosis, meaning she believes her anus is too narrow for her age.[forums.thebump.com]

Treatment

  • Both non-surgical and surgical treatments have been devised in the treatment of anal stenosis with good results. We described the results of the treatment of this disease in the Coloproctology Department of our institution.[ncbi.nlm.nih.gov]
  • CONCLUSION: The use of a novel combination of a House advancement anoplasty and sacral nerve stimulation is a safe and effective treatment rationale for treatment of radiation-induced anal stenosis.[ncbi.nlm.nih.gov]
  • Although often described as a debilitating and difficult problem, several good treatment options are available.[ncbi.nlm.nih.gov]
  • Abstract Acute superficial fissure-in-ano responds readily to conservative non-surgical treatment.[ncbi.nlm.nih.gov]
  • Treatments adopted are many and varied. In this study we applied radiofrequencies to the classic Y-V anoplasty operation and reported results obtained. METHODS: Eligibility criteria consisted of patients affected by anal stenosis.[ncbi.nlm.nih.gov]

Prognosis

  • These patients have an excellent prognosis for bowel control and fecal continence, and therefore, complete mobilization and resection of the anal canal must be avoided.[ncbi.nlm.nih.gov]
  • For these children, a colostomy is indicated during the newborn period, but once the final surgery corrects the defect, the prognosis is likewise excellent.[drgreene.com]
  • Prognosis is good as far as anal continence is concerned because the anal sphincter complex development is normal.[saudisurgj.org]
  • Since its initial description by Hermann in 1880 (2), 5-year survival rates have been estimated around 5 %-40 % (3-5), and one reason for this poor prognosis is delayed diagnosis due to overlapping with benign conditions.[scielo.isciii.es]

Etiology

  • Due to the rarity of this pathology and the different referral patterns among institutions, the etiology ranges widely between published reports.[ncbi.nlm.nih.gov]
  • The etiology, classification, and diagnostic modalities for anal stenosis were reviewed. A detailed overview of surgical and nonsurgical therapeutic options was developed.[ncbi.nlm.nih.gov]
  • The etiology, pathophysiology and classification of anal stenosis were reviewed. An overview of surgical and non-surgical therapeutic options was developed. Ninety percent of anal stenosis is caused by overzealous hemorrhoidectomy.[ncbi.nlm.nih.gov]
  • […] functional results, and lack of severe complications show that Sarner's and Musiari's flap advancement techniques are effective and safe methods for surgical correction of anal stenosis, particularly when cutaneous fibrosis plays a major role in its etiology[ncbi.nlm.nih.gov]
  • Etiology of the stenosis was secondary to hemorrhoid operations in 186 patients (87.7 per cent), anorectal surgical procedures associated with Crohn's disease in seven (3.3 per cent) and multiple other causes in the remaining 19 (9.0 per cent).[ncbi.nlm.nih.gov]

Epidemiology

  • Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3-18. Tabbers MM, DiLorenzo C, Berger MY, et al.[consultant360.com]
  • […] anaerobic culture 嫌気培養 anaerobic infection 嫌気性感染 anaerobic threshold 無酸素性作業閾値 anal agenesis 肛門無形成 anal fissure 裂肛/痔裂 anal fistula 痔瘻 anal stage 肛門期 anal stenosis/stenosis of anus 肛門狭窄/肛門狭窄症 analbuminemia 無アルブミン血症 analgesia 痛覚脱出/痛覚消失 analgesic 鎮痛薬 analytic epidemiology[jpeds.or.jp]
  • Proc R Soc Med 71:180–185 Google Scholar Trombetta LJ, Place RJ (2001) Giant condyloma acuminatum of the anorectum: trends in epidemiology and management: report of a case and review of the literature.[link.springer.com]
Sex distribution
Age distribution

Pathophysiology

  • This article presents the definition, pathophysiology, diagnosis, and treatment of anal stenosis, and methods to prevent it. Copyright 2010 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • The etiology, pathophysiology and classification of anal stenosis were reviewed. An overview of surgical and non-surgical therapeutic options was developed. Ninety percent of anal stenosis is caused by overzealous hemorrhoidectomy.[ncbi.nlm.nih.gov]

Prevention

  • Prevention of this condition may be achieved by adequate intake of dietary fiber or regular bulk laxatives in these debilitated patients.[ncbi.nlm.nih.gov]
  • This article presents the definition, pathophysiology, diagnosis, and treatment of anal stenosis, and methods to prevent it. Copyright 2010 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • Anal stricture is most often a preventable complication. It is most commonly seen after overzealous surgical hemorrhoidectomy. A well-performed hemorrhoidectomy is the best way to avoid anal stricture.[ncbi.nlm.nih.gov]
  • Anal stricture is most often a preventable complication. Many techniques have been used for the treatment of anal stenosis with variable healing rates.[ncbi.nlm.nih.gov]
  • Anal stenosis; Causes, prevention and treatment Anal stenosis is the most common type of outflow obstruction and is usually mistaken for constipation. It is the second most frequently missed anal diagnosis.[ayurvedapilescure.com]

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