What every gastroenterologist needs to know about common anorectal disorders  

作　　者：Moonkyung Cho Schubert Subbaramiah Sridhar Robert R Schade Steven D Wexner 

机构地区：[1]Department of Gastroenterology and Hepatology,Medical College of Georgia [2]Department of Colorectal Surgery,Cleveland Clinic Florida,2950 Cleveland Clinic Boulevard

出　　处：《World Journal of Gastroenterology》2009年第26期3201-3209,共9页世界胃肠病学杂志（英文版）

摘　　要：Anorectal complaints are very common and are caused by a variety of mostly benign anorectal disorders.Many anorectal conditions may be successfully treated by primary care physicians in the outpatient setting,but patients tend not to seek medical attention due to embarrassment or fear of cancer.As a result,patients frequently present with advanced disease after experiencing significant decreases in quality of life.A number of patients with anorectal complaints are referred to gastroenterologists.However,gastroenterologists' knowledge and experience in approaching these conditions may not be sufficient.This article can serve as a guide to gastroenterologists to recognize,evaluate,and manage medically or non-surgically common benign anorectal disorders,and to identify when surgical referrals are most prudent.A review of the current literature is performed to evaluate comprehensive clinical pearls and management guidelines for each topic.Topics reviewed include hemorrhoids,anal fissures,anorectal fistulas and abscesses,and pruritus ani.Anorectal complaints are very common and are caused by a variety of mostly benign anorectal disorders. Many anorectal conditions may be successfully treated by primary care physicians in the outpatient setting, but patients tend not to seek medical attention due to embarrassment or fear of cancer. As a result, patients frequently present with advanced disease after experiencing significant decreases in quality of life. A number of patients with anorectal complaints are referred to gastroenterologists. However, gastroenterologists＇ knowledge and experience in approaching these conditions may not be sufficient. This article can serve as a guide to gastroenterologists to recognize, evaluate, and manage medically or nonsurgically common benign anorectal disorders, and to identify when surgical referrals are most prudent. A review of the current literature is performed to evaluate comprehensive clinical pearls and management guidelines for each topic. Topics reviewed include hemorrhoids, anal fissures, anorectal fistulas and abscesses, and pruritus ani.

关 键 词：Anal fissures Anorectal disease Anorectal fistulas and abscesses HEMORRHOIDS Pruritus ani 

分 类 号：R657.1[医药卫生—外科学]