Background: Anal fissure is one of the most common ano-rectal diseases and 10% of patients ultimately receive surgery. Lateral internal sphincterotomy is highly effective and is the surgical treatment of choice for curing chronic anal fissure with hypertonicity after failure of conservative measures. LIS has a high success rate, but can have complications as bleeding and incontinence. There can...

background medical sphincterotomy has gained popularity as a treatment for anal fissure. calcium channel blockers in topical forms could also be appropriate with low adverse effects. objectives this was a prospective randomized controlled trial to compare topical and oral nifedipine in the treatment of chronic anal fissure. patients and methods a prospective randomized controlled trial was cond...

hydatid cyst is an infectious parasitic disease often caused by echinococcus granulosus, or to a lesser extent by echinococcus alveolaris. the liver is the organ most frequently involved. we report a case with hydatid cyst of the liver and lung that many years after surgery developed bronchobiliary fistula and biloptysis. the patient had been operated 2 times previously but yet the problem was ...

OBJECTIVE To determine the frequency of factors leading to post endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Gastroenterology, Liaquat National Hospital, Karachi, from November 2007 to October 2008. METHODOLOGY Fifty (50) patients of diagnosed cases of post-ERCP pancreatitis were included in this st...

OBJECTIVE The objective of this study was to evaluate the technical aspects and clinical efficacy of selective embolization for post-endoscopic sphincterotomy bleeding. MATERIALS AND METHODS We reviewed the records of 10 patients (3%; M:F = 6:4; mean age, 63.3 years) that underwent selective embolization for post-endoscopic sphincterotomy bleeding among 344 patients who received arteriography...

Endoscopic treatment of pancreatic ductal malformations causing recurrent acute pancreatitis, such as pancreas divisum or ansa pancreatica, is mainly based on the sphincterotomy of the minor papilla. However, the technical complexity of conventional endoscopic retrograde cholangiopancreatography (ERCP) is increased in patients presenting anatomical variants like these and it may be unsuccessful...

BACKGROUND Morbidity and mortality after surgical treatment of bileduct stones increase with age and associated diseases. A proposed alternative therapy is endoscopic sphincterotomy (ES) with the gallbladder left in situ, and we elected to compare this option with standard open surgery in high-risk patients. METHODS 98 patients (mean age 80 years) with symptoms likely to be due to bileduct st...

BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...

PURPOSE Opinions about early endoscopic sphincterotomy and time of laparoscopic cholecystectomy in acute biliary pancreatitis are still controversial. Some authors reserved this procedure only for cases in which the stones were visualized during ERCP or patients had clinical symptoms of acute cholangitis. The aim was the assessment of the dynamic of changes of proinflammatory cytokines and whit...

J.P. Neoptolemos, D.L. Carr-Locke and D.P. Fossard. (1987) Prospective randomised study of preoperative endoscopic sphincterotomy versus surgery alone for common bile duct stones. British Medical Journal, 294,470-474. One hundred and twenty patients with known common bile duct stones were entered into a prospective randomised study of preoperative endoscopic sphincterotomy and stone clearance (...