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- W4240937785 abstract "Anorectal disorders are common among patients presenting to gastroenterologists and can be challenging to manage. Often, co-management by gastroenterologists and surgeons is required. Internal hemorrhoids arise above the dentate line in three locations and are covered by columnar epithelium. External hemorrhoids arise below the dentate line and are covered by squamous epithelium. Patients with internal hemorrhoids may exhibit gross but not occult bleeding (rarely requiring transfusion), discomfort, pruritus ani, fecal soiling, and prolapse. Anorectal fistulae are abnormal communications between the anorectal canal and the perianal skin that are often the result of chronic infection. Abscess and fistula formation may occur without primary glandular infection in patients with Crohn's disease, anorectal malignancy, tuberculosis, actinomycosis, lymphogranuloma venereum, radiation proctitis, leukemia, and lymphoma. Patients with pre-existing fecal incontinence, Crohn's disease or other complex chronic fistulae may benefit from placement of a seton through the fistula, and generally should not undergo fistulotomy due to risk for nonhealing." @default.
- W4240937785 created "2022-05-12" @default.
- W4240937785 date "2019-10-25" @default.
- W4240937785 modified "2023-09-25" @default.
- W4240937785 title "Anorectal Diseases" @default.
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- W4240937785 doi "https://doi.org/10.1002/9781119515777.ch30" @default.
- W4240937785 hasPublicationYear "2019" @default.
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