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ACPGBI presents the long-awaited Guideline on Anal Fissure Management. This is the first ACP guideline following the new rigorous processes. Although many of the recommendations haven’t changed, it gives evidence supporting clinic decisions, especially in special circumstances eg pregnancy, breastfeeding, MSM, repeated botox. It introduces the concept of “clinically healed” – a patient with an assymptomatic/mildly symptomatic fissure and the hypotensive fissure, with an updated algorythm.

Many thanks to the excellent expert Guideline Development Group, especially James Bunce, Mel Paul and Steve Brown.

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