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Analfissur

Sprekkdannelse i analåpningen gjør det smertefullt å gå på do. Tilstanden forekommer både blant barn og voksne. De fleste blir bra med lokal behandling.

Rundt 90 prosent av akutte analfissurer tilheler spontant innen seks uker.

Sist oppdatert:

15. des. 2021

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Dette dokumentet er basert på det profesjonelle dokumentet Analfissur . Referanselisten for dette dokumentet vises nedenfor

  1. Stewart DB Sr, Gaertner W, Glasgow S, et al. Clinical practice guideline for the management of anal fissures. Dis Colon Rectum 2017; 60:7. PubMed
  2. Cohee MW, Hurff A, Gazewood JD. Benign Anorectal Conditions: Evaluation and Management. Am Fam Physician. 2020;101(1):24-33. PMID: 31894930 PubMed
  3. Zaghiyan KN, Fleshner P. Anal fissure. Clin Colon Rectal Surg 2011; 24:22. PubMed
  4. Madalinski MH. Identifying the best therapy for chronic anal fissure. World J Gastrointest Pharmacol Ther 2011; 2:9. PubMed
  5. Cross KL, Massey EJ, Fowler AL, et al; ACPGBI. The management of anal fissure: ACPGBI position statement. Colorectal Dis. 2008;10(suppl 3):1-7.
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  10. Nelson RL, Manuel D, Gumienny C, et al. A systematic review and meta-analysis of the treatment of anal fissure. Tech Coloproctol. 2017;21(8):605–625. PMID: 28795245 PubMed
  11. Gandomkar H, Zeinoddini A, Heidari R, et al. Partial lateral internal sphincterotomy versus combined botulinum toxin A injection and topical diltiazem in the treatment of chronic anal fissure: a randomized clinical trial. Dis Colon Rectum. 2015;58(2):228–234. PMID: 25585082 PubMed
  12. Shao WJ, Li GC, Zhang ZK. Systematic review and meta-analysis of randomized controlled trials comparing botulinum toxin injection with lateral internal sphincterotomy for chronic anal fissure. Int J Colorectal Dis. 2009 Sep. 24 (9):995-1000.
  13. Brisinda G, Cadeddu F, Brandara F, Marniga G, Maria G. Randomized clinical trial comparing botulinum toxin injections with 0.2 per cent nitroglycerin ointment for chronic anal fissure. Br J Surg 2007; 94: 162-7. PubMed
  14. Nelson RL, Chattopadhyay A, Brooks W, et al. Operative procedures for fissure in ano. Cochrane Database Syst Rev. 2011;(11):CD002199. The Cochrane Library
  15. Liang J, Church JM. Lateral internal sphincterotomy for surgically recurrent chronic anal fissure. Am J Surg. 2015;210(4):715–719.
  16. Gupta V, Rodrigues G, Prabhu R, et al. Open versus closed lateral internal anal sphincterotomy in the management of chronic anal fissures: a prospective randomized study. Asian J Surg. 2014;37(4):178–183.
  17. Poritz LS. Anal fissure treatment & management. Medscape, last updated Dec 15, 2017.
  18. Fargo MV, Latimer KM. Evaluation and management of common anorectal conditions. Am Fam Physician 2012; 85: 624-30. American Family Physician
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