Turkish Journal of Pediatric Surgery

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


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.

Ethics Committee Approval

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.

Author Contributions

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.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.