Fissures, fistulas, abscesses, and anal canal stenosis are manifestations of perianal Crohn disease CD. There are no known predictors of which patients will fail sphincter-sparing surgical therapy and ultimately require fecal diversion. Clinical variables were examined for factors predictive of the need for permanent fecal diversion. Eighty-six patients underwent operations. Univariate analyses of clinical variables were performed with respect to need for permanent fecal diversion.
Anorectal Crohn’s Disease: Anal Stenosis and Anal Fissure
Anorectal Crohn’s Disease: Anal Stenosis and Anal Fissure | SpringerLink
An anal stricture is a narrowing of the end of the tube anal canal that takes stool out of the body. This can cause pain and other problems with passing stool. The most common cause of anal stricture is surgery to remove hemorrhoids, warts, or a fistula. The surgery can create stiff scar tissue that causes the narrowing. Other causes include scar tissue from redness and swelling inflammation.
The preservation of continence and functional outcome must be balanced with the potential for poor healing. Operative approaches to anal stricture, including stricture division and sphincteroplasty, have resulted in improvement. Skip to main content.
Endoscopic treatments have emerged as an alternative to surgery, in the treatment of benign colorectal stricture. Unlike endoscopic balloon dilatation, there is limited data on endoscopic electrocautery incision therapy for benign colorectal stricture, especially with regards to safety and long-term patency. We present a case of a year-old female with Crohn's disease who had difficulty in defecation and passing thin stools. A pelvic magnetic resonance imaging scan, gastrograffin enema, and sigmoidoscopy showed a high-grade anorectal stricture.