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Botulinum toxin for chronic anal fissure after biliopancreatic diversion for morbid obesity.

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OBJECTIVE To study the effect of botulinum toxin in patients with chronic anal fissure after biliopancreatic diversion (BPD) for severe obesity. METHODS Fifty-nine symptomatic adults with chronic anal fissure developed after BPD were enrolled in an open label study. The outcome was evaluated

[Prevalence of anal diseases after Scopinaro's biliopancreatic bypass for super-obese patients].

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BACKGROUND Biliopancreatic diversion by Scopinaro (BD) is a mixed (malabsortive and restrictive) bariatric technique that is successful in achieving long lasting weight lost in super obese patients. In fact, the diarrhoea (steatorrhea) that is expected after any malabsortive technique can sometimes

The epidemiology and treatment of anal fissures in a population-based cohort.

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BACKGROUND Anal fissure (AF) is regarded as a common problem, but there are no published epidemiologic data, nor information on current treatment. The purpose of this study was to examine the incidence, associated comorbidities, and treatment of AF in a population-based cohort. METHODS We conducted

An atlas of the morphological manifestations of hidradenitis suppurativa.

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This article is dermatological atlas of the morphologic presentations of Hidradenitis Suppurativa (HS). It includes: superficial abscesses (boils, furnucles, carbuncles), abscesses that are subcutaneous and suprafascial, pyogenic granulomas, cysts, painful erythematous papules and plaques,

Review article: the use of botulinum toxin in the alimentary tract.

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New and future indications for the treatment of disorders of the alimentary tract using local injections of botulinum toxin are reviewed. Clinical experience shows that overactive smooth muscle sphincters may be weakened to treat disorders such as achalasia or chronic anal fissure. By contrast,

Supportive therapies in ano-rectal diseases--are they really useful?

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Epidemiological features of proctological disease are not well known because available studies have provided variable conclusions. Risk factors frequently mentioned include heredity, high socioeconomic level, obesity, smoking, a diet rich in fats, alcohol, spices and pepper as well low fluid intake

Prevention of urinary and fecal incontinence in adults.

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OBJECTIVE To assess the prevalence of and risk factors for urinary (UI) and fecal (FI) incontinence in adults in long-term care (LTC) settings and in the community, the effectiveness of diagnostic methods to identify adults at risk and patients with incontinence, and to review the effectiveness of

[Martin Luther's somatic diseases. A short life-history 450 years after his death].

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The article contains a short life-history of the religious reformer Martin Luther (1483-1546) with main emphasis on his many somatic diseases. The list comprises varicose ulcer, angina pectoris with anxiety, obesity, hypertension arterialis, Ménière's disease with vertigo, tinnitus and fainting

Thrombosed external hemorrhoids: outcome after conservative or surgical management.

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OBJECTIVE Few data exist on the actual recurrence rates of thrombosed external hemorrhoids. We wished to determine the incidence of recurrence, intervals to recurrence, and factors predicting recurrence of thrombosed external hemorrhoids after conservative or surgical management. METHODS Two hundred

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