Academic Journal
The Italian Unitary Society of Colon-proctology (SIUCP: Società Italiana Unitaria di Colonproctologia) guidelines for the management of anal fissure
| Τίτλος: | The Italian Unitary Society of Colon-proctology (SIUCP: Società Italiana Unitaria di Colonproctologia) guidelines for the management of anal fissure |
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| Συγγραφείς: | Brillantino A., Renzi A., Talento P., Iacobellis F., Brusciano L., Monaco L., Izzo D., Giordano A., Pinto M., Fantini C., Gasparrini M., Schiano Di Visconte M., Milazzo F., Ferreri G., Braini A., Cocozza U., Pezzatini M., Gianfreda V., Di Leo A., Landolfi V., Favetta U., Agradi S., Marino G., Varriale M., Mongardini M., Pagano C. E. F. A., Contul R. B., Gallese N., Ucchino G., D'Ambra M., Rizzato R., Sarzo G., Masci B., Da Pozzo F., Ascanelli S., Foroni F., Palumbo A., Liguori P., Pezzolla A., Marano L., Capomagi A., Cudazzo E., Babic F., Geremia C., Bussotti A., Cicconi M., Di Sarno A., Mongardini F. M., Brescia A., Lenisa L., Mistrangelo M., Sotelo M. L. S., Vicenzo L., Longo A., Docimo L. |
| Συνεισφορές: | Brillantino, A., Renzi, A., Talento, P., Iacobellis, F., Brusciano, L., Monaco, L., Izzo, D., Giordano, A., Pinto, M., Fantini, C., Gasparrini, M., Schiano Di Visconte, M., Milazzo, F., Ferreri, G., Braini, A., Cocozza, U., Pezzatini, M., Gianfreda, V., Di Leo, A., Landolfi, V., Favetta, U., Agradi, S., Marino, G., Varriale, M., Mongardini, M., Pagano, C. E. F. A., Contul, R. B., Gallese, N., Ucchino, G., D'Ambra, M., Rizzato, R., Sarzo, G., Masci, B., Da Pozzo, F., Ascanelli, S., Foroni, F., Palumbo, A., Liguori, P., Pezzolla, A., Marano, L., Capomagi, A., Cudazzo, E., Babic, F., Geremia, C., Bussotti, A., Cicconi, M., Di Sarno, A., Mongardini, F. M., Brescia, A., Lenisa, L., Mistrangelo, M., Sotelo, M. L. S., Vicenzo, L., Longo, A., Docimo, L. |
| Έτος έκδοσης: | 2023 |
| Συλλογή: | Università degli Studi di Siena: USiena air |
| Θεματικοί όροι: | Anal dilatation, Anal fissure, Anal manometry, Anal spasm, Endoanal ultrasound, Fissurectomy, SIUCP, Sphincterotomy |
| Περιγραφή: | Introduction: The aim of these evidence-based guidelines is to present a consensus position from members of the Italian Unitary Society of Colon-Proctology (SIUCP: Società Italiana Unitaria di Colon-Proctologia) on the diagnosis and management of anal fissure, with the purpose to guide every physician in the choice of the best treatment option, according with the available literature. Methods: A panel of experts was designed and charged by the Board of the SIUCP to develop key-questions on the main topics covering the management of anal fissure and to performe an accurate search on each topic in different databanks, in order to provide evidence-based answers to the questions and to summarize them in statements. All the clinical questions were discussed by the expert panel in different rounds through the Delphi approach and, for each statement, a consensus among the experts was reached. The questions were created according to the PICO criteria, and the statements developed adopting the GRADE methodology. Conclusions: In patients with acute anal fissure the medical therapy with dietary and behavioral norms is indicated. In the chronic phase of disease, the conservative treatment with topical 0.3% nifedipine plus 1.5% lidocaine or nitrates may represent the first-line therapy, eventually associated with ointments with film-forming, anti-inflammatory and healing properties such as Propionibacterium extract gel. In case of first-line treatment failure, the surgical strategy (internal sphincterotomy or fissurectomy with flap), may be guided by the clinical findings, eventually supported by endoanal ultrasound and anal manometry. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Περιγραφή αρχείου: | ELETTRONICO |
| Γλώσσα: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/37833715; info:eu-repo/semantics/altIdentifier/wos/WOS:001095817800001; volume:23; issue:1; numberofpages:19; journal:BMC SURGERY; https://hdl.handle.net/11365/1276614; https://pmc.ncbi.nlm.nih.gov/articles/PMC10576345/ |
| DOI: | 10.1186/s12893-023-02223-z |
| Διαθεσιμότητα: | https://hdl.handle.net/11365/1276614 https://doi.org/10.1186/s12893-023-02223-z https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02223-z https://pmc.ncbi.nlm.nih.gov/articles/PMC10576345/ |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Αριθμός Καταχώρησης: | edsbas.56605A34 |
| Βάση Δεδομένων: | BASE |
| DOI: | 10.1186/s12893-023-02223-z |
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