{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:21:06Z","timestamp":1789669266335,"version":"4.0.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1977,5,1]],"date-time":"1977-05-01T00:00:00Z","timestamp":231292800000},"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":[[1977,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The results of treatment of 188 consecutive new patients with a primary diagnosis of fissure-in-ano presenting to the Outpatient Department of St Mark's Hospital are reviewed. One-third underwent operation as the primary treatment and were not studied further. Of the remaining patients who underwent non-operative treatment only, one-half were initially cured. Follow-up at 4 years showed that this cure was maintained in half of these-cases, suggesting that there is aplace for treatment with a dilator in the correctly selected case.<\/jats:p>\n               <jats:p>The presence of a sentinel skin tag or a fibrous anal polyp is shown to have a statistically significant association with operative treatment. The use of a paediatric sigmoidoscope ro diagnose a fibrous anal polyp is recommended.<\/jats:p>","DOI":"10.1002\/bjs.1800640516","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T16:09:08Z","timestamp":1172851748000},"page":"355-358","source":"Crossref","is-referenced-by-count":67,"title":["Fissure-in-ano: The initial management and prognosis"],"prefix":"10.1093","volume":"64","author":[{"given":"M R","family":"Lock","sequence":"first","affiliation":[{"name":"St Mark's Hospital , City Road, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P S","family":"Thomson","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1977,5,1]]},"reference":[{"key":"2024101718465080600_bib1","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/S0300-5089(21)00259-5","article-title":"Dermatological aspects of anorectal disease","volume":"4","author":"Alexander","year":"1975","journal-title":"Clin. 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Med."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800640516","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/5\/355\/59835240\/bjs1800640516.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/64\/5\/355\/59835240\/bjs1800640516.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T18:47:55Z","timestamp":1729190875000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/64\/5\/355\/6186796"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,5,1]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1977,5,1]]},"published-print":{"date-parts":[[1977,5,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800640516","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1977,5]]},"published":{"date-parts":[[1977,5,1]]}}}