{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:45:32Z","timestamp":1792759532251,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the impact of lateral internal sphincterotomy on symptom resolution and quality of life, overall and related to faecal incontinence, in patients with chronic anal fissure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An analytical observational before\u2010 and after study was conducted in adults with chronic anal fissure who underwent lateral internal sphincterotomy between 2020 and 2024. Quality of life changes were assessed using the EQ\u20105D\u20105L and VAS Score. In patients with preoperative faecal incontinence, changes were evaluated using the Faecal Incontinence Quality of Life Scale (FIQLS). FIQLS and VAS scores were compared using the Wilcoxon signed\u2010rank test, and EQ\u20105D\u20105L changes were analysed using the Paretian Classification of Health Change,Probability of Superiority and Health Profile Matrix.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 332 patients were analysed, 52.1% male (173\/332), with a median age of 43\u2009years (IQR 34\u201355). According to the Paretian Classification of Health Change, 85.6% (279\/326) showed an overall improvement in quality of life. All EQ\u20105D\u20105L domains demonstrated improvement after the procedure, with the greatest impact observed in the pain\/discomfort domain (96.9%, 281\/290). These findings were supported by probability of superiority values (mobility\u2009=\u20090.53; self\u2010care\u2009=\u20090.54; usual activities\u2009=\u20090.64; pain\/discomfort\u2009=\u20090.92; anxiety\/depression\u2009=\u20090.58) and were reflected in the Health Profile Matrix. Preoperative faecal incontinence was present in 7.8% (26\/332), with no significant changes in quality of life according to FIQLS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lateral internal sphincterotomy improved overall quality of life in patients with chronic anal fissure without worsening faecal incontinence related quality of life and was associated with symptom resolution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70654","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:25:38Z","timestamp":1792488338000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of lateral internal sphincterotomy on quality of life and postoperative faecal incontinence in chronic anal fissure: An observational before and after study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1577-5525","authenticated-orcid":false,"given":"Jessica","family":"Capre\u2010Pereira","sequence":"first","affiliation":[{"name":"Servicio de Cirug\u00eda Colorrectal Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Facultad de Ciencias de la Salud Universidad ICESI  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-5493","authenticated-orcid":false,"given":"Helber\u2010Fabi\u00e1n","family":"P\u00e9rez\u2010Imbach\u00ed","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad ICESI  Cali Colombia"},{"name":"Centro de Investigaciones Cl\u00ednicas Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Maestr\u00eda en Epidemiolog\u00eda Universidad Libre  Cali Colombia"},{"name":"Cap\u00edtulo de Futuros Cirujanos Asociaci\u00f3n Colombiana de Cirug\u00eda  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-9500","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Gempeler","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad ICESI  Cali Colombia"},{"name":"Centro de Investigaciones Cl\u00ednicas Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8519-2571","authenticated-orcid":false,"given":"Juan\u2010Guillermo","family":"Holgu\u00edn","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Colorrectal Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Facultad de Ciencias de la Salud Universidad ICESI  Cali 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Medicina, Facultad de Ciencias de la Salud Universidad ICESI  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8507-6878","authenticated-orcid":false,"given":"Paula","family":"Riascos","sequence":"additional","affiliation":[{"name":"Programa de Medicina, Facultad de Ciencias de la Salud Universidad ICESI  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8959-3817","authenticated-orcid":false,"given":"Estefan\u00eda","family":"Gallego","sequence":"additional","affiliation":[{"name":"Cap\u00edtulo de Futuros Cirujanos Asociaci\u00f3n Colombiana de Cirug\u00eda  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6040-5486","authenticated-orcid":false,"given":"Abraham","family":"Kestenberg","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Colorrectal Fundaci\u00f3n Valle del Lili  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Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70654","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70654","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:11:43Z","timestamp":1792757503000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/codi.70654"],"URL":"https:\/\/doi.org\/10.1111\/codi.70654","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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