Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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CLINICAL, ENDOSCOPIC AND MICROBIOLOGICAL FEATURES OF CHRONIC ANAL FISSURES WITHOUT SPASM OF ANAL SPHINCTER

Grekova N.M. 1 Lebedeva J.V. 1 Maleva E.A. 1
1 Chelyabinsk state medical academy
In a crossectional study we reviewed clinical data and results of culture and endoscopic examination of 103 patients with chronic anal fissure and coexisting proctitis. According to found anal pressure patients were divided into two groups: 85 patients with  spasm of the internal sphincter and 15 patient without spasm of internal sphincter. We found that pain was present in patients without sphincter spasm but it was less severe than pain in patients with high anal pressure. All patients with chronic anal fissure had high pH level in rectum mucosa  and disbiosis of colon.  Pathogenic or fecal bacteria was found in all anal defects.