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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 7/2006

01-07-2006

Results of Lateral Internal Sphincterotomy for Chronic Anal Fissure With Particular Reference to Quality of Life

Authors: B. Bülent Menteş, M.D., Tugan Tezcaner, M.D., Utku Yılmaz, M.D., Sezai Leventoğlu, M.D., Mehmet Oguz, M.D.

Published in: Diseases of the Colon & Rectum | Issue 7/2006

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Purpose

The aim of this study was to investigate the effects of lateral internal sphincterotomy on quality of life in patients with chronic anal fissure using the Gastrointestinal Quality of Life Index and the Fecal Incontinence Quality of Life Scale.

Methods

Adult patients with chronic anal fissure underwent lateral internal sphincterotomy with the open technique. Two hundred forty-four patients completed the Gastrointestinal Quality of Life Index questionnaire at admission and at 12 months postoperatively. The Fecal Incontinence Severity Index score was calculated preoperatively and at 2 and 12 months postoperatively. The Fecal Incontinence Quality of Life Scale was administered to any patient who had a Fecal Incontinence Severity Index score greater than 0 at 12 months postoperatively.

Results

The mean preoperative Gastrointestinal Quality of Life Index score was 118.34 ± 6.33, which developed to 140.74 ± 2.38 postoperatively (P< 0.001). At the two-month follow-up, 18 patients (7.38 percent) had a Fecal Incontinence Severity Index score greater than 0. By 12 months, the number of patients with Fecal Incontinence Severity Index score greater than 0 was reduced to seven (2.87 percent). These seven patients had a Gastrointestinal Quality of Life Index score similar to that of the group with postoperative Fecal Incontinence Severity Index score of 0, and only three patients (1.22 percent) had evident deterioration in the Fecal Incontinence Quality of Life Scale. The 12-month total Gastrointestinal Quality of Life Index score of the three patients who developed anal abscess/fistula after sphincterotomy (139.33 ± 3.21) was similar to the Gastrointestinal Quality of Life Index score of those without complications. However, the Gastrointestinal Quality of Life Index score of the recurrent cases (111.53 ± 3.53) was apparently low.

Conclusion

The gastrointestinal quality of life improved significantly following lateral internal sphincterotomy, regardless of the surgical complications or postoperative disturbances of continence. Only 1.2 percent of the patients experienced deterioration in Fecal Incontinence Quality of Life Scale.
Literature
1.
Schouten, WR, Briel, JW, Auwerda, JJ, Graff, EJ 1996Ischaemic nature of anal fissureBr J Surg836365PubMed
2.
Lewis, TH, Corman, ML, Prager, ED, Robertson, WG 1988Long-term results of open and closed sphincterotomy for anal fissureDis Colon Rectum31368371PubMed
3.
Mentes, BB, Ege, B, Leventoglu, S, Oguz, M, Karadag, A 2005Extent of lateral internal sphincterotomy: up to the dentate line or up to the fissure apex?Dis Colon Rectum48365370PubMedCrossRef
4.
Timmcke, AE, Hicks, TC 1996Fissure-in-anoZuidema, GDCondon, RE eds. Shackelford's surgery of the alimentary tract4WB SaundersPhiladelphia322329
5.
Brisinda, G, Maria, G, Bentivoglio, AR, Cassetta, E, Gui, D, Albanese, A 1999A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissureN Engl J Med3416569PubMedCrossRef
6.
Richard, CS, Gregoire, R, Plewes, EA,  et al. 2000Internal sphincterotomy is superior to topical nitroglycerin in the treatment of chronic anal fissure: results of a randomized, controlled trial by the Canadian Colorectal Surgical Trials GroupDis Colon Rectum4310481057PubMedCrossRef
7.
Evans, J, Luck, A, Hewett, P 2001Glyceryl trinitrate vs. lateral sphincterotomy for chronic anal fissure: prospective, randomized trialDis Colon Rectum449397PubMedCrossRef
8.
Mentes, BB, Irkorucu, O, Akin, M, Leventoglu, S, Tatlicioglu, E 2003Comparison of botulinum toxin injection and lateral internal sphincterotomy for the treatment of chronic anal fissureDis Colon Rectum46232237PubMedCrossRef
9.
O'Boyle, CA 1992Assessment of quality of life in surgeryBr J Surg79395398PubMed
10.
Mentes, BB, Akin, M, Irkorucu, O,  et al. 2001Gastrointestinal quality of life in patients with symptomatic or asymptomatic cholelithisis before and after laparoscopic cholecystectomySurg Endosc1512671272PubMedCrossRef
11.
Hyman, N 2004Incontinence after lateral internal sphincterotomy: a prospective study and quality of life assessmentDis Colon Rectum473538PubMedCrossRef
12.
Sailer, M, Bussen, D, Debus, ES, Fuchs, KH, Thiede, A 1998Quality of life in patients with benign anorectal disordersBr J Surg8517161719PubMedCrossRef
13.
Griffin, N, Acheson, AG, Tung, P, Sheard, C, Glazebrook, C, Scholefield, JH 2004Quality of life in patients with chronic anal fissureColorectal Dis63944PubMedCrossRef
14.
Eyspasch, E, Williams, JI, Wood-Dauphinee, S,  et al. 1995Gastrointestinal quality of life index: development of a new instrumentBr J Surg82216222
15.
Rockwood, TH, Church, JM, Fleshman, JW,  et al. 1999Patient and surgeon ranking of the severity of symptoms associated with fecal incontinenceDis Colon Rectum4215251532PubMedCrossRef
16.
Rockwood, TH, Church, JM, Fleshman, JW,  et al. 2000Fecal incontinence quality of life scale. Quality of life instrument for patients with fecal incontinenceDis Colon Rectum43917PubMedCrossRef
17.
Testa, MA, Simonson, DC 1996Assessment of quality of life outcomesN Engl J Med334834840CrossRef
18.
Steens, J, Meijerink, WJ, Masclee, AA,  et al. 2000Limited influence of pouch function on quality of life after ileal pouch–anal anatomosisHepatogastroenterology47746750PubMed
19.
Jentschura, D, Winkler, M, Strohmeier, N, Rumstadt, B, Hagmüller, E 1997Quality of life after curative surgery for gastric cancer: a comparison between total gastrectomy and subtotal gastric resectionHepatogastroenterology4411371142PubMed
20.
Khubchandani, IT, Reed, JF 1989Sequelae of internal sphincterotomy for chronic fissure in anoBr J Surg76421424
21.
Nyam, DC, Pemberton, JH 1999Long-term results of lateral internal sphincterotomy for chronic anal fissure with particular reference to incidence of fecal incontinenceDis Colon Rectum42130610PubMedCrossRef
Metadata
Title
Results of Lateral Internal Sphincterotomy for Chronic Anal Fissure With Particular Reference to Quality of Life
Authors
B. Bülent Menteş, M.D.
Tugan Tezcaner, M.D.
Utku Yılmaz, M.D.
Sezai Leventoğlu, M.D.
Mehmet Oguz, M.D.
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 7/2006
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-006-0527-0

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