Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study
Abstract Objective: The aim of this study is to describe the effectiveness and safety of a magistral formulation of diltiazem 2% rectal gel as a treatment for chronic anal fissure. Material and methods: A retrospective observational study of all patients that began treatment with diltiazem 2% gel during 2019. The primary endpoint of the study was anal fissure healing. We also looked for differences in effectiveness between those initiating treatment and those who had been previously treated, long-term effectiveness through a 2-year follow-up and frequency of adverse effects. Results: Of the 166 patients included in the study, anal fissure healed in 72.9%. We detected adverse effects in 12 patients, the most common was local irritation. After 2 years of follow-up, 88% of patients did not relapse. Conclusion: In this study, use of topical diltiazem 2% has been shown to be effective and safe in the treatment of anal fissure and should be considered as the first line of therapy.
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Academia Mexicana de Cirugía A.C.
2024
|
Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2024000100028 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S2444-054X2024000100028 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S2444-054X20240001000282024-05-03Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational studyMartínez-Orea,GabrielRodríguez-Lucena,Francisco J.García-González,CeliaCano-Cuenca,NievesCandela-Fajardo,AnaBonilla-Peñarrubia,Rodrigo Diltiazem Fissure in Ano Administration Topical Abstract Objective: The aim of this study is to describe the effectiveness and safety of a magistral formulation of diltiazem 2% rectal gel as a treatment for chronic anal fissure. Material and methods: A retrospective observational study of all patients that began treatment with diltiazem 2% gel during 2019. The primary endpoint of the study was anal fissure healing. We also looked for differences in effectiveness between those initiating treatment and those who had been previously treated, long-term effectiveness through a 2-year follow-up and frequency of adverse effects. Results: Of the 166 patients included in the study, anal fissure healed in 72.9%. We detected adverse effects in 12 patients, the most common was local irritation. After 2 years of follow-up, 88% of patients did not relapse. Conclusion: In this study, use of topical diltiazem 2% has been shown to be effective and safe in the treatment of anal fissure and should be considered as the first line of therapy.info:eu-repo/semantics/openAccessAcademia Mexicana de Cirugía A.C.Cirugía y cirujanos v.92 n.1 20242024-02-01info:eu-repo/semantics/articletext/htmlhttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2024000100028en10.24875/ciru.22000626 |
institution |
SCIELO |
collection |
OJS |
country |
México |
countrycode |
MX |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-mx |
tag |
revista |
region |
America del Norte |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Martínez-Orea,Gabriel Rodríguez-Lucena,Francisco J. García-González,Celia Cano-Cuenca,Nieves Candela-Fajardo,Ana Bonilla-Peñarrubia,Rodrigo |
spellingShingle |
Martínez-Orea,Gabriel Rodríguez-Lucena,Francisco J. García-González,Celia Cano-Cuenca,Nieves Candela-Fajardo,Ana Bonilla-Peñarrubia,Rodrigo Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
author_facet |
Martínez-Orea,Gabriel Rodríguez-Lucena,Francisco J. García-González,Celia Cano-Cuenca,Nieves Candela-Fajardo,Ana Bonilla-Peñarrubia,Rodrigo |
author_sort |
Martínez-Orea,Gabriel |
title |
Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
title_short |
Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
title_full |
Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
title_fullStr |
Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
title_full_unstemmed |
Efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
title_sort |
efficacy of diltiazem 2% rectal gel in the treatment of chronic anal fissure: a retrospective observational study |
description |
Abstract Objective: The aim of this study is to describe the effectiveness and safety of a magistral formulation of diltiazem 2% rectal gel as a treatment for chronic anal fissure. Material and methods: A retrospective observational study of all patients that began treatment with diltiazem 2% gel during 2019. The primary endpoint of the study was anal fissure healing. We also looked for differences in effectiveness between those initiating treatment and those who had been previously treated, long-term effectiveness through a 2-year follow-up and frequency of adverse effects. Results: Of the 166 patients included in the study, anal fissure healed in 72.9%. We detected adverse effects in 12 patients, the most common was local irritation. After 2 years of follow-up, 88% of patients did not relapse. Conclusion: In this study, use of topical diltiazem 2% has been shown to be effective and safe in the treatment of anal fissure and should be considered as the first line of therapy. |
publisher |
Academia Mexicana de Cirugía A.C. |
publishDate |
2024 |
url |
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2024000100028 |
work_keys_str_mv |
AT martinezoreagabriel efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy AT rodriguezlucenafranciscoj efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy AT garciagonzalezcelia efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy AT canocuencanieves efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy AT candelafajardoana efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy AT bonillapenarrubiarodrigo efficacyofdiltiazem2rectalgelinthetreatmentofchronicanalfissurearetrospectiveobservationalstudy |
_version_ |
1802825274316816384 |