Does the severity of anal fissure trigger constipation?
Veli Avcı1
, Mehmet Tahir Huyut2
1Department of Pediatric Surgery, Lokman Hekim Van Hospital, Van, Türkiye
2Department of Biostatistics and Medical Informatics, Erzincan Binali Yıldırım University Medical Faculty, Erzincan, Türkiye
Keywords: Anal fissure, child, constipation, severity
Abstract
Objectives: The aim of this study was to investigate the effect of the severity of anal fissure on the occurrence of constipation.
Patients and methods: Between January 2021 and February 2023, a total of 141 patients (66 males, 75 females; median age: 3 years; range, 3 to 6 years) who were diagnosed with anal fissure according to the Rome IV criteria in our clinic were retrospectively analyzed. The number of anal fissures was rated as mild if it was 1-2, moderate if it was 3-4, and severe if it was 5 or more. The patients' ages, sex, number of fissures, and the number of patients with constipation complaints were recorded.
Results: Of a total of 141 anal fissure patients, 15 complained of constipation. The number of patients with moderate and severe fissures who experienced constipation was found to be significantly higher than those who did not. However, the constipation problem in patients with mild fissure was significantly less than in those without anal fissure.
Conclusion: There is a highly significant positive relationship between anal fissure severity and constipation. The risk of moderate and severe anal fissure increases the likelihood of triggering constipation.
Citation: Avcı V, Huyut MT. Does the severity of anal fissure trigger constipation? Turkish J Ped Surg 2023;37(3):99-104. doi: 10.62114/JTAPS.2023.73374.
The study protocol was approved by the Van Training and Research Hospital Clinical Research Ethics Committee (date: 31.03.2023, no: 2023/07- 001). The study was conducted in accordance with the principles of the Declaration of Helsinki.
A written informed consent was obtained from the parents and/or legal guardians of the patients.
Data Sharing Statement:
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Idea/concept, literature review: V.A., Design, control/supervision, data collection and/ or processing, analysis and/or interpretation, writing the article, critical review, references and fundings, materials: V.A., M.T.H.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.