fissure like presence of a sentinel pile and exposed internal anal sphincter fibers are described by most authors along with the time duration of symptoms. 1, 11, 15 However, this inclusion criteria
PANCE Blueprint GI and Nutrition (10) Home PANCE Blueprint GI and Nutrition (10) Anal fissure Sentinel pile (thickened mucosa) Which of the following is a treatment option following failure of conservative treatment for anal fissure? A. Lateral anal sphincterotomy. B. Cryosurgery. Hint: Is used in treating hemorrhoids. C.
Chronic fissures are usually associated with a tag at the outside edge of the anus (sentinel pile) and a tag inside the anus (hypertrophied anal papillae). These tags, when seen by the examining physician are indicators that the fissure is chronic and has less of a chance of healing.
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