Systematic review and meta-analysis of randomized controlled trials comparing botulinum toxin injection with lateral internal sphincterotomy for chronic anal fissure

Autor: Zhi-Kun Zhang, Wan-Jin Shao, Guo-Chun Li
Rok vydání: 2009
Předmět:
Zdroj: International Journal of Colorectal Disease. 24:995-1000
ISSN: 1432-1262
0179-1958
DOI: 10.1007/s00384-009-0683-5
Popis: The aim of this review is to systematically analyze the prospective randomized controlled trials on the efficacy of botulinum toxin injection (Botox) vs. lateral internal sphincterotomy (LIS) for the treatment of chronic anal fissure (CAF). A systematic review of the literature was undertaken. The prospective randomized controlled trials on the effectiveness of Botox vs. LIS for the management of CAF were selected according to specific criteria and analyzed to generate pooling data. Four studies encompassing 279 patients were qualified for the meta-analysis. There was a statistically significant higher healing in LIS group compared with Botox group (RR 1.31[1.57, 1.50] 95% CI, z = 4.11, p
Databáze: OpenAIRE