AIM: to improve the results of chronic anal fissure treatment.PATIENTS AND METHODS: prospective randomized study included 176 patients divided in two groups. Eighty-eight underwent excision combination with injection botulinum toxin type A (incobotulinum toxin) into internal sphincter (main group, BTA), and 88 lateral subcutaneous sphincterotomy (control LIS).RESULTS: on 30th day after surgery,...

An anal fissure is a longitudinal ulcerated area in the vertical axis of squamous lining canal between verge and dentate line, noted 10–15% proctological patients. Present study was aimed to study, acute fissure-in-ano relation clinical diagnosis management at tertiary hospital. hospital based prospective observational conducted patients 18-70 years age ( including males & females ), w...

INTRODUCTION The aim of this study was to investigate whether definitive treatment of gallstone pancreatitis (GSP) by either cholecystectomy or endoscopic sphincterotomy in England conforms with British Society of Gastroenterology (BSG) guidelines and to validate these guidelines. METHODS Hospital Episode Statistics data were used to identify patients admitted for the first time with GSP betw...

Choledochocele is a cystic dilatation of the intraduodenal portion of the common bile duct that can protrude into the duodenum. Although often classified as type III biliary cyst, choledochocele has distinctive demographic and anatomic features, and is associated with a lower risk of malignancy as compared to other types of choledochal cysts. Patients with this condition present with biliary co...

BACKGROUND Extrahepatic cholestasis that is caused by benign and malignant diseases has been reported to increase liver stiffness (LS), as measured by transient elastography (TE). OBJECTIVES The aim of this study was to evaluate LS in patients with extrahepatic cholestasis due to choledocholithiasis before and after endoscopic sphincterotomy and stone removal. PATIENTS AND METHODS LS was me...

Ascariasis is one of the most common helminthic diseases. Its most feared complication is migration into the biliary tree. Some authors recommend immediate duodenoscopy in all cases of biliary migration, with sphincterotomy for the extraction of the parasites, and surgical extraction in case of intrahepatic ascariasis. We followed prospectively 69 patients with ultrasonographical evidence of mi...

Background and aims: The role of sphincter of Oddi dysfunction (SOD) and sphincter of Oddi manometry (SOM) in patients with post-cholecystectomy pain and idiopathic recurrent acute pancreatitis (IRAP) is controversial. We sought to survey the American Gastroenterology community to define current approaches. Methods: An electronic survey was sent to U.S. members of the American Society of Gastro...

Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to functional obstruction of pancreaticobiliary flow at the level of the sphincter of Oddi. The Milwaukee classification stratifies patients according to their clinical picture based on elevated liver enzymes, dilated common bile duct and presence of abdominal pain. Type I patients have pain ...