scholarly journals Previous cholecystectomy and choledochal sphincter spasm after morphine sedation

2000 ◽  
Vol 47 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Anthony M. -H. Ho
Keyword(s):  
Sphincter Spasm

Naloxone Reversal of Choledochoduodenal Sphincter Spasm Associated with Narcotic Administration

1978 ◽  
Vol 48 (6) ◽  
pp. 437-437 ◽  
Author(s):  
Richard L. McCammon ◽  
Oscar J. Viegas ◽  
Robert K. Stoelting ◽  
Gale E. Dryden
Keyword(s):  
Sphincter Spasm

Internal sphincter spasm in anal fissure

1997 ◽  
Vol 84 (12) ◽  
pp. 1723-1724 ◽  
Author(s):  
J. N. Lund ◽  
J. H. Scholefield
Keyword(s):  
Anal Fissure ◽  
Internal Sphincter ◽  
Sphincter Spasm

Use of dantrolene sodium in external sphincter spasm

Urology ◽  
1976 ◽  
Vol 8 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Myron M. Murdock ◽  
Daniel Sax ◽  
Robert J. Krane
Keyword(s):  
External Sphincter ◽  
Dantrolene Sodium ◽  
Sphincter Spasm

Internal sphincter spasm in anal fissure

1997 ◽  
Vol 84 (12) ◽  
pp. 1723-1724 ◽  
Author(s):  
J. N. Lund ◽  
J. H. Scholefield
Keyword(s):  
Anal Fissure ◽  
Internal Sphincter ◽  
Sphincter Spasm

Narcotic-Induced Choledochoduodenal Sphincter Spasm Reversed by Glucagon

1980 ◽  
Vol 59 (12) ◽  
pp. 946???947 ◽  
Author(s):  
Ronald M. Jones ◽  
Richard Fiddian-Green ◽  
Paul R. Knight
Keyword(s):  
Sphincter Spasm

scholarly journals Self-Mechanical Anal Dilatation: A Simple Trick to Minimize Postoperative Pain and Stenosis Following Hemorrhoidectomy With Radiofrequency

2021 ◽  
Vol 8 ◽  
Author(s):  
Chiara Eberspacher ◽  
Pietro Mascagni ◽  
Kenneth Paul Zeri ◽  
Lisa Fralleone ◽  
Gabriele Naldini ◽  
...  
Keyword(s):  
Hemorrhoidal Disease ◽  
Anal Stenosis ◽  
Use Of Self ◽  
Historical Cohort ◽  
Pain Evaluation ◽  
Sphincter Spasm ◽  
Dilation Group ◽  
Secondary Endpoints ◽  
Group A ◽  
Group B

Aim: Hemorrhoidectomy is still the most effective surgical treatment for hemorrhoidal disease, but it is, however, associated with complications such as pain and stenosis. We proposed to break the “vicious circle” of “pain–sphincteric spasm–stenosis–pain” with the postoperative use of self-mechanical anal dilation.Methods: We retrospectively analyzed patients with hemorrhoidal disease presenting with a minimum of piles of three quadrants, treated with radiofrequency hemorrhoidectomy between January 2018 and December 2019. All the patients that at 3 weeks presented sphincteric spasms with painful defecation, were considered. Thirty-nine patients performed the cycle of self-mechanical anal dilation (Group A). This group was 1:1 matched with homogeneous patients from our historical cohort of patients (Group B). The primary endpoint was the pain evaluation, secondary endpoints: WCS, overall satisfaction of the patient, anal sphincter spasm, scarring, and the incidence of postoperative stenosis.Results: In Group A mean VAS was 3.25 after 14 days of application and 1.15 at the end of the application. In Group B mean VAS was persistently higher, with a mean VAS of 5 (p = 0.000002) and 3.38 (p = 0.0000000000009). In Group A we observed an improvement of symptoms at the end, with a good overall satisfaction (Group A 7.4 vs. Group B 5.9; p = 0.0000007) and a better mean WCS (Group A WCS 2.8 vs. Group B WCS 4.18; p = 0.0001). Stenosis was observed in 3/39 patients of Group B (7.7%).Conclusions: Self-mechanical anal dilation improves the pain in the late postoperative course, minimizing the risk of anal stenosis.

Anal Endosonographic Findings in Patients with Obstructed Defecation

1993 ◽  
Vol 34 (1) ◽  
pp. 35-38 ◽  
Author(s):  
M. B. Nielsen ◽  
O. Ø. Rasmussen ◽  
J. F. Pedersen ◽  
J. Christiansen
Keyword(s):  
Anal Manometry ◽  
Internal Sphincter ◽  
Obstructed Defecation ◽  
External Sphincter ◽  
Anal Endosonography ◽  
Sphincter Muscle ◽  
Healthy Controls ◽  
Cross Sectional ◽  
Sphincter Spasm ◽  
Rectal Emptying

Anal endosonography, including measurements of anal sphincter size, was performed in 16 patients with obstructed defecation. The findings were compared with those at defecography and anal manometry. Patients with rectocele and intussusception had a normal endosonographic appearance. One patient with puborectalic spasm had normal sonography. There was no correlation between sphincter size and anal manometry. The external sphincter muscle was thicker and the cross-sectional area larger in patients with obstructed defecation than in healthy controls (p < 0.05). Two patients with sphincter spasm and impaired rectal emptying at defecography had clearly thickened internal sphincters which may be the cause of their defecatory disorder. Three patients with previous anal dilatation or hemorrhoidectomy had sphincteric defects. Anal endosonography may be considered in patients with obstructed defecation to identify patients with internal sphincter hypertrophy.

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