metricas
covid
Buscar en
Gastroenterología y Hepatología
Toda la web
Inicio Gastroenterología y Hepatología Guía de práctica clínica sobre el manejo del paciente con rectorragia
Información de la revista
Vol. 25. Núm. 10.
Páginas 605-632 (enero 2002)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 25. Núm. 10.
Páginas 605-632 (enero 2002)
Acceso a texto completo
Guía de práctica clínica sobre el manejo del paciente con rectorragia
Visitas
25229
P. Alonsoa, M. Marzoa,*, J.J. Mascortb, A. Hervásc, L. Viñasb, J. Ferrúsb, J. Ferrándizb, L. López-Rivasc, X. Bonfilla, J.M. Piquéc
a Centro Cochrane Iberoamericano
b Sociedad Española de Medicina de Familia y Comunitaria
c Asociación Española de Gastroenterología
Este artículo ha recibido
Información del artículo
El Texto completo está disponible en PDF
Bibliografía
[1.]
G.H. Fijten, G.H. Blijham, J.A. Knottnerus.
Occurrence and clinical significance of overt blood loss per rectum in the general population and in medical practice.
Br J Gen Pract, 44 (1994), pp. 320-325
[2.]
R. Jones, M. Farthing, J. Barnes, R. Leicester.
The management of rectal bleeding.
Br J Clin Pract, 47 (1993), pp. 155-158
[3.]
J.E. Byles, S. Redman, D. Hennrikus, R.W. Sanson-Fisher, J. Dickinson.
Delay in consulting a medical practitioner about rectal bleeding.
J Epidemiol Community Health, 46 (1992), pp. 241-244
[4.]
J.E. Byles, R.W. Sanson-Fisher, S. Redman, A.L. Reid, M. Agrez.
Early detection of colorectal cancer: a profile of current practice Cancer.
Detect Prev, 16 (1992), pp. 245-252
[5.]
G.H. Fijten, J.W. Muris, R. Starmans, J.A. Knottnerus, G.H. Blijham, T.F. Krebber.
The incidence and outcome of rectal bleeding in general practice.
Fam Pract, 10 (1993), pp. 283-287
[6.]
A. Crosland, R. Jones.
Rectal bleeding: prevalence and consultation behaviour.
BMJ, 311 (1995), pp. 486-488
[7.]
N.J. Talley, M. Jones.
Self-reported rectal bleeding in a United States community: prevalence, risk factors, and health care seeking.
Am J Gastroenterol, 93 (1998), pp. 2.179-2.183
[8.]
M.J. Sladden, A.N. Thomson, C.J. Lombard.
Rectal bleeding in general practice patients.
Aust Fam Physician, 28 (1999), pp. 750-754
[9.]
A. Chaplin, R. Curless, R. Thomson, R. Barton.
Prevalence of lower gastrointestinal symptoms and associated consultation behaviour in a British elderly population determined by face-toface interview.
Br J Gen Pract, 50 (2000), pp. 798-802
[10.]
N. Norrelund, H. Norrelund.
Colorectal cancer and polyps in patients aged 40 years and over who consult a GP with rectal bleeding.
Fam Pract, 13 (1996), pp. 160-165
[11.]
G.H. Fijten, R. Starmans, J.W. Muris, H.J. Schouten, G.H. Blijham, J.A. Knottnerus.
Predictive value of signs and symptoms for colorectal cancer in patients with rectal bleeding in general practice.
Fam Pract, 12 (1995), pp. 279-286
[12.]
J.V. Metcalf, J. Smith, R. Jones, C.O. Record.
Incidence and causes of rectal bleeding in general practice as detected by colonoscopy.
Br J Gen Pract, 46 (1996), pp. 161-164
[13.]
E. Fernández, A. Linares, J.L. Alonso, N.G. Sotorrio, l.a. Vega J de, M.L. Artimez, et al.
Hallazgos colonoscópicos en pacientes con hemorragia digestiva baja remitidos a un hospital para su estudio. Valor de los datos clínicos para predecir hallazgos normales o patológicos.
Rev Esp Enf Dig, 88 (1996), pp. 16-20
[14.]
M. Helfand, K.I. Marton, M.J. Zimmer-Gembeck, H.C. Sox Jr..
History of visible rectal bleeding in a primary care population. Initial assessment and 10-year follow-up.
JAMA, 277 (1997), pp. 44-48
[15.]
M. Douek, M. Wickramasinghe, M.A. Clifton.
Does isolated rectal bleeding suggest colorectal cancer?.
[16.]
H. Wauters, V. Van Casteren, F. Buntinx.
Rectal bleeding and colorectal cancer in general practice: diagnostic study.
BMJ, 321 (2000), pp. 998-999
[18.]
National Health and Medical Research Council (NHMRC). Guidelines for the prevention, early detection and management of colorectal cancer: A guide for general practitioners Guidelines for the prevention, early detection and management of colorectal cancer: A guide for general practitioners. http://www.health.gov.au/nhmrc/publications/pdf/cp64.pdf
[19.]
Scottish Cancer Therapy Network. Colorectal Cancer. A National Clinical Guidelines.Number 16. Scottish Intercolegiate Guidelines. Juny 1997. http://www.show.scot.nhs.uk/sign/pdf/sign16.pdf
[20.]
R.A. Smith, A.C. von Eschenbach, R. Wender, B. Levin, T. Byers, D. Rothenberger, et al.
American Cancer Society guidelines for the early detection of cancer: update of early detection guidelines for prostate, colorectal, and endometrial cancers. Also: update 2001--testing for early lung cancer detection.
CA Cancer J Clin, 51 (2001), pp. 38-75
[21.]
NHS. Referral Guidelines for Suspected Cancer. http://www.doh.gov.uk/pub/docs/doh/guidelines.pdf
[23.]
D.J. Ellis, P.G. Bevan.
Proctoscopy and sigmoidoscopy.
Br Med J, 281 (1980), pp. 435-437
[24.]
J.L. Pfenninger, G.G. Zainea.
Common anorectal conditions: Part I. Symptoms and complaints.
Am Fam Physician, 63 (2001), pp. 2.391-2.398
[25.]
H.T. Sorensen, E. Ejlersen, J. Moller-Petersen, H.H. Rasmussen, F. Olesen.
Overall use of proctoscopy in general practice and possible relation to the stage of rectal cancer.
Fam Pract, 9 (1992), pp. 145-148
[26.]
J. Sturmberg.
Learning relevant procedural skills Are supervisors providing opportunities?.
Aust Fam Physician, 26 (1997), pp. 1.163-1.165
[27.]
H. Graffner, E. Hallin, H. Stridbeck, J. Nilsson.
The frequency of digital and endoscopic examination of the rectum before radiological barium enema.
Scand J Prim Health Care, 4 (1986), pp. 249-251
[28.]
S.M. Kelly, R.A. Sanowski, P.G. Foutch, S. Bellapravalu, W.C. Haynes.
A prospective comparison of anoscopy and fiberendoscopy in detecting anal lesions.
J Clin Gastroenterol, 8 (1986), pp. 658-660
[29.]
A. Fraser.
Office proctology and sigmoidoscopy.
Aust Fam Physician, 19 (1990), pp. 661-663
[30.]
S.J. Winawer, R.H. Fletcher, L. Miller, F. Godlee, M.H. Stolar, C.D. Mulrow, S.H. Woolf, et al.
Colorectal cancer screening: clinical guidelines and rationale.
Gastroenterology, 112 (1997), pp. 594-642
[31.]
R.E. Kravetz.
Proctoscope.
Am J Gastroenterol, 96 (2001), pp. 1.918
[32.]
M. Rasmussen, O. Kronborg.
Flexible sigmoidoscopy in Denmark. A questionnaire.
Ugeskr Laeger, 163 (2001), pp. 771-774
[33.]
L.S. Jones, R.W. Nicholson, D.A. Evans.
Experience with a one-stop colorectal clinic.
J R Coll Surg Edinb, 46 (2001), pp. 96-97
[34.]
R.L. Buckley, M.U. Smith, H.P. Katner.
Use of rigid and flexible sigmoidoscopy by family physicians in the United States.
J Fam Pract, 27 (1988), pp. 197-200
[35.]
A. Iseli.
Sigmoidoscopy Is it a general practice procedure?.
Aust Fam Physician, 28 (1999), pp. 61-64
[36.]
P. Graham.
Sigmoidoscopy.
Aust Fam Physician, 25 (1996), pp. 1.403-1.404
[37.]
N.J. Taffinder, S.W. Gould, A.C. Wan, P. Taylor, A. Darzi.
Rigid videosigmoidoscopy vs conventional sigmoidoscopy. A randomized controlled study.
Surg Endosc, 13 (1999), pp. 814-816
[38.]
S.J. Winawer, C. Miller, C. Lightdale, E. Herbert, R.C. Ephram, L. Gordon, D. Miller.
Patient response to sigmoidoscopy. A randomized, controlled trial of rigid and flexible sigmoidoscopy.
Cancer, 60 (1987), pp. 1.905-1.908
[39.]
M.B. Harper, J.B. Pope.
Office procedures. Flexible sigmoidoscopy.
Prim Care, 24 (1997), pp. 341-357
[40.]
D.F. Ransohoff, R.S. Sandler.
Clinical practice. Screening for colorectal cancer.
N Engl J Med, 346 (2002), pp. 40-44
[41.]
P. Schoenfeld.
Flexible sigmoidoscopy by paramedical personnel.
J Clin Gastroenterol, 28 (1999), pp. 110-116
[42.]
D.A. Lieberman, D.G. Weiss, J.H. Bond, D.J. Ahnen, H. Garewal, G. Chejfec.
Use of colonoscopy to screen asymptomatic adults for colorectal cancer.
Veterans Affairs Cooperative Study Group 380. N Engl J Med, 343 (2000), pp. 162-168
[43.]
T.F. Imperiale, D.R. Wagner, C.Y. Lin, G.N. Larkin, J.D. Rogge, D.F. Ransohoff.
Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings.
N Engl J Med, 343 (2000), pp. 169-174
[44.]
E.J. Irvine, J. O’Connor, R.A. Frost, P. Shorvon, S. Somers, G.W. Stevenson, R.H. Hunt.
Prospective comparison of double contrast barium enema plus flexible sigmoidoscopy v colonoscopy in rectal bleeding: barium enema v colonoscopy in rectal bleeding.
Gut, 29 (1988), pp. 1.188-1.193
[45.]
J.D. Lewis, A. Brown, A.R. Localio, J.S. Schwartz.
Initial evaluation of rectal bleeding in young persons: a cost-effectiveness analysis.
Ann Intern Med, 136 (2002), pp. 99-110
[46.]
S.J. Winawer, E.T. Stewart, A.G. Zauber, J.H. Bond, H. Ansel, J.D. Waye, et al.
A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy. National Polyp Study Work Group.
N Engl J Med, 342 (2000), pp. 1.766-1.772
[47.]
W.N. Segal, P.D. Greenberg, D.C. Rockey, J.P. Cello, K.R. McQuaid.
The outpatient evaluation of hematochezia.
Am J Gastroenterol, 93 (1998), pp. 179-182
[48.]
D.K. Rex, G.A. Lehman, R.H. Hawes, K.W. O’Connor, J.J. Smith.
Performing screening flexible sigmoidoscopy using colonoscopes: experience in 500 subjects.
Gastrointest Endosc, 36 (1990), pp. 486-488
[49.]
Abramowitz L, Godeberge P, Staumont G, Soudan D. Recommandations pour la Practique Clinique sur le traitment des hémorroïdes. Societé Nationale Française de Colo-Proctologie (SNFCP). En: http://www.med.univ-rennes1.fr/uv/snfcp/
[50.]
T.R. Gadacz, L.W. Traverso, G.M. Fried, B. Stabile, B.A. Levine.
Practice guidelines for patients with gastrointestinal surgical diseases.
J Gastrointest Surg, 2 (1998), pp. 483-484
[51.]
J.F. Johanson, A. Rimm.
Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy.
Am J Gastroenterol, 87 (1992), pp. 1.600-1.606
[52.]
H.M. MacRae, R.S. McLeod.
Comparison of hemorrhoidal treatments: a meta-analysis.
Can J Surg, 40 (1997), pp. 14-17
[53.]
D.J. Webster, D.C. Gough, J.L. Craven.
The use of bulk evacuant in patients with haemorrhoids.
Br J Surg, 65 (1978), pp. 291-292
[54.]
F. Moesgaard, M.L. Nielsen, J.B. Hansen, J.T. Knudsen.
High-fiber diet reduces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-Siblin.
Dis Colon Rectum, 25 (1982), pp. 454-456
[55.]
M. Perez-Miranda, A. Gomez-Cedenilla, T. Leon-Colombo, J. Pajares, J. Mate-Jimenez.
Effect of fiber supplements on internal bleeding hemorrhoids.
Hepatogastroenterology, 43 (1996), pp. 1.504-1.507
[56.]
S.L. Jensen, H. Harling, G. Tange, M.H. Shokouh-Amiri, O.V. Nielsen.
Maintenance bran therapy for prevention of symptoms after rubber band ligation of third-degree haemorrhoids.
Acta Chir Scand, 154 (1988), pp. 395-398
[57.]
P. Perrotti, C. Antropoli, D. Molino, G. De Stefano, M. Antropoli.
Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine.
Dis Colon Rectum, 44 (2001), pp. 405-409
[58.]
P. Godeberge.
Daflon 500 mg in the treatment of hemorrhoidal disease: a demonstrated efficacy in comparison with placebo.
Angiology, 45 (1994), pp. 574-578
[59.]
M. Cospite.
Double-blind, placebo-controlled evaluation of clinical activity and safety of Daflon 500 mg in the treatment of acute hemorrhoids.
Angiology, 45 (1994), pp. 566-573
[60.]
M.C. Misra, R. Parshad.
Randomized clinical trial of micronized flavonoids in the early control of bleeding from acute internal haemorrhoids.
[61.]
W. Thanapongsathorn, T. Vajrabukka.
Clinical trial of oral diosmin (Daflon) in the treatment of hemorrhoids.
Dis Colon Rectum, 35 (1992), pp. 1.085-1.088
[62.]
B.B. Mentes, A. Gorgul, E. Tatlicioglu, F. Ayoglu, S. Unal.
Efficacy of calcium dobesilate in treating acute attacks of hemorrhoidal disease.
Dis Colon Rectum, 44 (2001), pp. 1.489-1.495
[63.]
L. Ibañez, E. Ballarin, X. Vidal, J.R. Laporte.
Agranulocytosis associated with calcium dobesilate clinical course and risk estimation with the case-control and the case-population approaches.
Eur J Clin Pharmacol, 56 (2000), pp. 763-767
[64.]
P. Debien, J. Denis.
Treatment of functional symptoms in acute hemorrhoidal crisis: Multicentric, randomized trial with hemisynthetic diosmin versus combined gingko biloba extract, heptaminol and troxerutin.
Med Chir Dig, 25 (1996), pp. 259-264
[65.]
Y.H. Ho, M. Tan, F. Seow-Choen.
Micronized purified flavonidic fraction compared favorably with rubber band ligation and fiber alone in the management of bleeding hemorrhoids: randomized controlled trial.
Dis Colon Rectum, 43 (2000), pp. 66-69
[66.]
W.L. Law, K.W. Chu.
Triple rubber band ligation for hemorrhoids: prospective, randomized trial of use of local anesthetic injection.
Dis Colon Rectum, 42 (1999), pp. 363-366
[67.]
G.D. Hooker, E.A. Plewes, C. Rajgopal, B.M. Taylor.
Local injection of bupivacaine after rubber band ligation of hemorrhoids: prospective, randomized study.
Dis Colon Rectum, 42 (1999), pp. 174-179
[68.]
A.C. Poen, R.J. Felt-Bersma, M.A. Cuesta, W. Deville, S.G. Meuwissen.
A randomized controlled trial of rubber band ligation versus infra-red coagulation in the treatment of internal haemorrhoids.
Eur J Gastroenterol Hepatol, 12 (2000), pp. 535-539
[69.]
A. Longo.
Treatment of haemorrhoidal disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device: a new procedure. In: Proceedings of the 6th World Congress of Endoscopic Surgery and 6th International Congress of European Association for Endoscopic Surgery.
Rome 3-6, (June, 1998), pp. 777-784
[70.]
B.J. Mehigan, J.R. Monson, J.E. Hartley.
Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial.
[71.]
M. Rowsell, M. Bello, D.M. Hemingway.
Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomised controlled trial.
Lancet, 355 (2000), pp. 779-781
[72.]
E. Ganio, D.F. Altomare, F. Gabrielli, G. Milito, S. Canuti.
Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy.
[73.]
K.H. Khalil, A. O’Bichere, D. Sellu.
Randomized clinical trial of sutured versus stapled closed haemorrhoidectomy.
Br J Surg, 87 (2000), pp. 1.352-1.355
[74.]
P. Boccasanta, P.G. Capretti, M. Venturi, U. Cioffi, M. De Simone, G. Salamina, E. Contessini-Avesani, A. Peracchia.
Randomised controlled trial between stapled circumferential mucosectomy and conventional circular hemorrhoidectomy in advanced hemorrhoids with external mucosal prolapse.
Am J Surg, 182 (2001), pp. 64-68
[75.]
R. Shalaby, A. Desoky.
Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy.
Br J Surg, 88 (2001), pp. 1.049-1.053
[76.]
Y.H. Ho, F. Seow-Choen, C. Tsang, K.W. Eu.
Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy.
Br J Surg, 88 (2001), pp. 1.449-1.455
[77.]
G. Brisinda.
How to treat haemorrhoids. Prevention is best; haemorrhoidectomy needs skilled operators.
BMJ, 321 (2000), pp. 582-583
[78.]
J.N. Lund, J.H. Scholefield.
Aetiology and treatment of anal fissure.
Br J Surg, 83 (1996), pp. 1.335-1.344
[79.]
R. Nelson.
Operative procedures for fissure in ano (Cochrane Review).
Cochrane Database Syst Rev, 3 (2001), pp. CD002199
[80.]
M. Jonas, J. Scholefield, et al.
Anal fissure.
Clinical Evidence. Issue 6,
[81.]
R. Nelson.
Non surgical therapy for anal fissure (Protocol for a Cochrane Review). In: The Cochrane Library, Issue 1.
[82.]
S.L. Jensen.
Diet and other risk factors for fissure-in-ano. Prospective case control study.
Dis Colon Rectum, 31 (1988), pp. 770-773
[83.]
S.L. Jensen.
Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence.
J R Soc Med, 80 (1987), pp. 296-298
[84.]
S.L. Jensen.
Treatment of first episodes of acute anal fissure: prospective randomised study of lignocaine ointment versus hydrocortisone ointment or warm sitz baths plus bran.
BMJ, 292 (1986), pp. 1.167-1.169
[85.]
M.J. Gough, A. Lewis.
The conservative treatment of fissure-inano.
Br J Surg, 70 (1983), pp. 175-176
[86.]
H. Bacher, H.J. Mischinger, G. Werkgartner, H. Cerwenka, A. El-Shabrawi, J. Pfeifer, W. Schweiger.
Local nitroglycerin for treatment of anal fissures: an alternative to lateral sphincterotomy?.
Dis Colon Rectum, 40 (1997), pp. 840-845
[87.]
C. Antropoli, P. Perrotti, M. Rubino, A. Martino, G. De Stefano, G. Migliore, et al.
Nifedipine for local use in conservative treatment of anal fissures: preliminary results of a multicenter study.
Dis Colon Rectum, 42 (1999), pp. 1.011-1.015
[88.]
P.B. Loder, M.A. Kamm, R.J. Nicholls, R.K. Phillips.
’Reversible chemical sphincterotomy’ by local application of glyceryl trinitrate.
Br J Surg, 81 (1994), pp. 1.386-1.389
[89.]
J.N. Lund, J.H. Scholefield.
A randomised, prospective, doubleblind, placebo-controlled trial of glyceryl trinitrate ointment in treatment of anal fissure.
[90.]
M.L. Kennedy, S. Sowter, H. Nguyen, D.Z. Lubowski.
Glyceryl trinitrate ointment for the treatment of chronic anal fissure: results of a placebo-controlled trial and long-term follow-up.
Dis Colon Rectum, 42 (1999), pp. 1.000-1.006
[91.]
E.A. Carapeti, M.A. Kamm, P.J. McDonald, S.J. Chadwick, D. Melville, R.K. Phillips.
Randomised controlled trial shows that glyceryl trinitrate heals anal fissures, higher doses are not more effective, and there is a high recurrence rate.
Gut, 44 (1999), pp. 727-730
[92.]
A.J. Werre, H.W. Palamba, E.J. Bilgen, W.F. Eggink.
Isosorbide dinitrate in the treatment of anal fissure: a randomised, prospective, double blind, placebo-controlled trial.
Eur J Surg, 167 (2001), pp. 382-385
[93.]
S. Chaudhuri, A.K. Pal, A. Acharya, A. Dey, A. Chowdhury, A. Santra, et al.
Treatment of chronic anal fissure with topical glyceryl trinitrate: a double-blind, placebo-controlled trial.
Indian J Gastroenterol, 20 (2001), pp. 101-102
[94.]
D.F. Altomare, M. Rinaldi, G. Milito, F. Arcana, F. Spinelli, N. Nardelli, et al.
Glyceryl trinitrate for chronic anal fissure--healing or headache? Results of a multicenter, randomized, placebo-controled, double-blind trial.
Dis Colon Rectum, 43 (2000), pp. 174-179
[95.]
B.F. Zuberi, M.R. Rajput, H. Abro, S.A. Shaikh.
A randomized trial of glyceryl trinitrate ointment and nitroglycerin patch in healing of anal fissures.
Int J Colorectal Dis, 15 (2000), pp. 243-245
[96.]
G. Maria, E. Cassetta, D. Gui, G. Brisinda, A.R. Bentivoglio, A. Albanese.
A comparison of botulinum toxin and saline for the treatment of chronic anal fissure.
N Engl J Med, 338 (1998), pp. 217-220
[97.]
G. Maria, G. Brisinda, A.R. Bentivoglio, E. Cassetta, D. Gui, A. Albanese.
Influence of botulinum toxin site of injections on healing rate in patients with chronic anal fissure.
Am J Surg, 179 (2000), pp. 46-50
[98.]
W.H. Jost, B. Schrank.
Repeat botulin toxin injections in anal fissure: in patients with relapse and after insufficient effect of first treatment.
Dig Dis Sci, 44 (1999), pp. 1.588-1.589
[99.]
G. Brisinda, G. Maria, A.R. Bentivoglio, E. Cassetta, D. Gui, A. Albanese.
A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure.
N Engl J Med, 341 (1999), pp. 65-69
[100.]
J. Lysy, Y. Israelit-Yatzkan, M. Sestiery-Ittah, S. Weksler-Zangen, D. Keret, E. Goldin.
Topical nitrates potentiate the effect of botulinum toxin in the treatment of patients with refractory anal fissure.
Gut, 48 (2001), pp. 221-224
[101.]
M. Jonas, K.R. Neal, J.F. Abercrombie, J.H. Scholefield.
A randomized trial of oral vs. topical diltiazem for chronic anal fissures.
Dis Colon Rectum, 44 (2001), pp. 1.074-1.078
[102.]
J.S. Knight, M. Birks, R. Farouk.
Topical diltiazem ointment in the treatment of chronic anal fissure.
[103.]
J. Pitt, M.M. Craggs, M.M. Henry, P.B. Boulos.
Alpha-1 adrenoceptor blockade: potential new treatment for anal fissures.
Dis Colon Rectum, 43 (2000), pp. 800-803
[104.]
E.A. Carapeti, M.A. Kamm, R.K. Phillips.
Topical diltiazem and bethanechol decrease anal sphincter pressure and heal anal fissures without side effects.
Dis Colon Rectum, 43 (2000), pp. 1.359-1.362
[105.]
E.A. Carapeti, M.A. Kamm, B.K. Evans, R.K. Phillips.
Topical diltiazem and bethanechol decrease anal sphincter pressure without side effects.
Gut, 45 (1999), pp. 719-722
[106.]
R.L. Nelson.
Meta-analysis of operative techniques for fissureinano.
Dis Colon Rectum, 42 (1999), pp. 1.424-1.428
[107.]
C.S. Richard, R. Gregoire, E.A. Plewes, R. Silverman, C. Burul, D. Buie, et al.
Internal 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 Group.
Dis Colon Rectum, 43 (2000), pp. 1.048-1.057
[108.]
G.J. Oettle, v.s. Glyceryl trinitrate.
sphincterotomy for treatment of chronic fissure-in-ano: a randomized, controlled trial.
Dis Colon Rectum, 40 (1997), pp. 1.318-1.320
Copyright © 2002. Elsevier España, S.L.. Todos los derechos reservados
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos