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Papers of the Week

Papers: 5 Feb 2022 - 11 Feb 2022

2022 Mar

Gastroenterol Clin North Am



A Pain in the Butt: Hemorrhoids, Fissures, Fistulas, and Other Anorectal Syndromes.


Lunsford TN, Atia MA, Kagbo-Kue S, Harris LA
Gastroenterol Clin North Am. 2022 Mar; 51(1):123-144.
PMID: 35135658.


Painful and bothersome anorectal syndromes can be a diagnostic and therapeutic challenge for clinicians because structural and functional abnormalities may often coexist and require a multidisciplinary approach to management. Although it is often difficult to attribute all of a patient's anorectal symptoms to a singular disorder with definitive intervention and cure, improving quality of life, treating coexistent conditions such as functional constipation and/or defecation disorders, addressing psychological comorbidities if present, and confirming there is no evidence of inflammatory or malignant conditions are top priorities.