Publications by authors named "G Coremans"
Article Synopsis
- Acute and chronic anal fissures are common health issues that lead to significant discomfort and frequent doctor visits; therefore, evidence-based treatment guidelines are crucial.
- A Delphi consensus method was used to review existing literature and create a set of statements regarding the treatment options for anal fissures, finalized by January 2023.
- The guidelines emphasize that both men and women are equally affected, conservative treatments should be tried first, and surgical options like lateral internal sphincterotomy and fissurectomy can be considered if conservative methods fail.
Article Synopsis
- The study assesses the effectiveness of adding botulinum toxin injections during fissurectomy for chronic anal fissures, as current treatments have limitations.
- The research findings show that fissurectomy alone resolves symptoms in 81.1% of cases, while adding botulinum toxin improves this to 90.1%.
- Complications were similar in both groups, with a low incidence of incontinence and post-operative bleeding.
Belgian consensus guideline on the management of hemorrhoidal disease.
Acta Gastroenterol Belg
March 2021
Introduction: Hemorrhoidal disease is a common problem that arises when hemorrhoidal structures become engorged and/or prolapse through the anal canal. Both conservative and invasive treatment options are diverse and guidance to their implementation is lacking.
Methods: A Delphi consensus process was used to review current literature and draft relevant statements.
Purpose: Injection of botulinum toxin into the internal anal sphincter is a well-documented intervention to reduce anal hypertonia in the treatment of anal fissures. In patients receiving chemotherapy, painful anal conditions are frequent, secondary to change in bowel habits and reduced immunity. However, injection of botulinum toxin is often not offered due to fear of complications.
View Article and Find Full Text PDFBackground: To improve detection of mucosal lesions during colonoscopy a number of imaging modalities have been suggested, including high definition and virtual chromoendoscopy. Given the theoretical advantage of these new imaging techniques, we aimed to investigate their use for the detection of polyps in patients referred for colonoscopy in a large tertiary hospital.
Methods: Demographic, endoscopic, and histological data from 1855 consecutive patients undergoing colonoscopy were collected prospectively.