{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:21:16Z","timestamp":1760188876378},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1975,10,1]],"date-time":"1975-10-01T00:00:00Z","timestamp":181353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1975,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Anal pressure and motility have been measured in 56 patients with haemorrhoids and 40 asymptomatic subjects. The anal pressure of patients with haemorrhoids (93.6 cm H2O) was very significantly higher than that of the controls (66.8 cm H2O; P&amp;lt; 0.001). Ultra-slow pressure waves (amplitude 25\u2013100 cm H2O, frequency 0.9\u20131.6lmin) were present in 39 per cent of patients with haemorrhoids, but in only 7.5 per cent of the controls (P&amp;lt; 0.001). Ultra-slow waves are present under anaesthesia with the voluntary muscles paralysed and are associated with the highest anal pressure, and so represent abnormal activity of the internal anal sphincter. Measurements after anal dilatation showed complete abolition of ultra-slow wave activity and a very significant drop in pressure.<\/jats:p>\n               <jats:p>One year after dilatation 19 patients had a mean anal pressure of 62 cm H2O. Very good results were obtained unless the haemorrhoids were so large that they prolapsed at times other than defaecation. Lord's procedure is a rational treatment since it corrects an underlying overactivity of the internal sphincter.<\/jats:p>","DOI":"10.1002\/bjs.1800621021","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T12:18:15Z","timestamp":1172837895000},"page":"833-836","source":"Crossref","is-referenced-by-count":98,"title":["The internal sphincter and Lord's procedure for haemorrhoids"],"prefix":"10.1093","volume":"62","author":[{"given":"B D","family":"Hancock","sequence":"first","affiliation":[{"name":"University Hospital of South Manchester"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Smith","sequence":"additional","affiliation":[{"name":"University Hospital of South Manchester"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1975,10,1]]},"reference":[{"key":"2024092618411186100_bib1","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/S0140-6736(74)91414-7","article-title":"A clinical trial of the treatment of haemorrhoids by operation and the Lord procedure","volume":"2","author":"Anscombe","year":"1974","journal-title":"Lancet"},{"key":"2024092618411186100_bib2","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/S0140-6736(72)91795-3","article-title":"Haemorrhoidectomy versus manual dilatation of the anus","volume":"2","author":"Chant","year":"1972","journal-title":"Lancet"},{"key":"2024092618411186100_bib3","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1007\/BF02587027","article-title":"Internal and sphincterotomy versus anal stretch with special criticism of the anal stretch procedure for haemorrhoids","volume":"17","author":"Eisenhammer","year":"1974","journal-title":"Dis. Colon Rectum"},{"key":"2024092618411186100_bib4","first-page":"51","article-title":"A comparative study of the methods of treatment for haemor rhoids","volume":"67","author":"Jones","year":"1974","journal-title":"Proc. R. Soc. Med."},{"key":"2024092618411186100_bib5","first-page":"150","volume-title":"Morphological and Physiological Aspects of Anal Continence and Defaecation","author":"Kerremans","year":"1969"},{"key":"2024092618411186100_bib6","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1002\/bjs.1800561013","article-title":"A day case procedure for the cure of third degree haemorrhoids","volume":"56","author":"Lord","year":"1969","journal-title":"Br. J. 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Man."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800621021","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/62\/10\/833\/59358636\/bjs1800621021.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/62\/10\/833\/59358636\/bjs1800621021.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T18:41:20Z","timestamp":1727376080000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/62\/10\/833\/6190167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1975,10,1]]},"references-count":9,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1975,10,1]]},"published-print":{"date-parts":[[1975,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800621021","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1975,10]]},"published":{"date-parts":[[1975,10,1]]}}}