الشق الشرجي المزمن عند الأطفال دون سن 16 عامًا

References

DOI: 10.1111/codi.167

• A different treatment algorithm for children (U16) with a chronic anal fissure is advisable.
• First-line treatment on acute anal fissures in children is the use of stool softeners and/or stimulant laxatives; followed by topical agents or intrasphincteric injection of botulinum toxin.
• One report describes this intervention in 13 children, using 2.5 U Botox x2 in >2 year old, either side of the fissure into the external sphincter using EMG stimulation as guidance.