Efficacy and Safety of Endoanal Ultrasound-Guided Botulinum Toxin in Chronic Anal Fissure

被引：2
|
作者：
Akalin, Cagri [1 ]
Yavuzarslan, Ayse Burcu [1 ]
Akyol, Cihangir [2 ]
机构：
[1] Ordu Training & Res Hosp, Dept Gen Surg, Bucak St, TR-52200 Ordu, Turkey
[2] Ankara Univ, Sch Med, Dept Gen Surg, Istanbul, Turkey
来源：
AMERICAN SURGEON | 2023年 / 89卷 / 05期
关键词：
chronic anal fissure; botulinum toxin; efficacy; ultrasound-guided; endoanal ultrasound; MANAGEMENT; SITE;
D O I：
10.1177/00031348211034750
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
We aimed to evaluate the efficacy and safety of endoanal ultrasound (EAUS)-guided botulinum toxin (BT) in the treatment of chronic anal fissure (CAF). All patients were classified into 2 groups: conventional and EAUS groups. In total, 90 units of BT were injected into the internal anal sphincter at the 3, 6, and 9 o'clock positions in the EAUS group. An injection was performed into the intersphincteric space at the 3, 6, and 9 o'clock positions in the conventional group. Adverse effects and efficacy were analyzed. There were 44 patients: 26 in the conventional group and 18 in the EAUS group. Pain and incontinence rates were similar between groups (P > .05). The efficacy rate was higher in the EAUS group (69.23%) than in the conventional group (81.82%), but this difference was not significant (P = .466). EAUS-guided BT injection is safe and effective in patients with CAFs.
引用
收藏
页码：2125 / 2128
页数：4
相关论文
共 50 条
  • [21] The treatment of chronic anal fissure with botulinum toxin and fissurectomy
    Ky, A.
    Steinhagen, R.
    Ly, E.
    Steinhagen, E.
    Xu, A.
    DISEASES OF THE COLON & RECTUM, 2008, 51 (05) : 692 - 692
  • [22] Botulinum toxin injection in outpatients for chronic anal fissure
    Dokcu, Seref
    Basceken, Salim Ilksen
    ACTA CHIRURGICA BELGICA, 2024, 124 (02) : 131 - 136
  • [23] Lack of effficacy of botulinum toxin in chronic anal fissure
    Siproudhis, L
    Sébille, V
    Pigot, F
    Hémery, P
    Juguet, F
    Bellissant, E
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (05) : 515 - 524
  • [24] Effectiveness of Botulinum Toxin A Injection for the Treatment of Chronic Anal Fissure
    Wignall, A.
    Luther, A.
    Saleh, A.
    Babu, B.
    Kang, P.
    BRITISH JOURNAL OF SURGERY, 2015, 102 : 256 - 256
  • [25] A comparison of botulinum toxin and nitroglycerin ointment for chronic anal fissure
    Kaiser, AM
    NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (22): : 1701 - 1701
  • [26] A comparison of botulinum toxin and saline for the treatment of chronic anal fissure
    Maria, G
    Cassetta, E
    Gui, D
    Brisinda, G
    Bentivoglio, AR
    Albanese, A
    NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (04): : 217 - 220
  • [27] Anal advancement flap and botulinum toxin A (BT) for chronic anal fissure (CAF)
    Halahakoon, V. C.
    Pitt, J. P.
    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2014, 29 (09) : 1175 - 1177
  • [28] Anal advancement flap and botulinum toxin A (BT) for chronic anal fissure (CAF)
    V. C. Halahakoon
    J. P. Pitt
    International Journal of Colorectal Disease, 2014, 29 : 1175 - 1177
  • [29] Ultrasound-Guided Botulinum Toxin Injections in Neurology
    Tacik, P.
    Dressler, D.
    KLINISCHE NEUROPHYSIOLOGIE, 2013, 44 (01) : 1 - 8
  • [30] Botulinum toxin for the treatment of anal fissure
    López, FF
    Freire, RC
    Rios, AR
    Iglesias, JG
    Fernández, MC
    Lesquereux, JP
    DIGESTIVE SURGERY, 1999, 16 (06) : 515 - 518
12345