Results of Treatment and Points of Management for HIV-positive Patients with Anal Diseases in Central AIDS Medical Centers

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  • Miyazaki Michihiko
    Department of Surgery, National Hospital Organization Osaka National Hospital
  • Mishima Hideyuki
    Department of Surgery, National Hospital Organization Osaka National Hospital
  • Ikenaga Masakazu
    Department of Surgery, National Hospital Organization Osaka National Hospital
  • Yasui Masayoshi
    Department of Surgery, National Hospital Organization Osaka National Hospital
  • Nakamori Shoji
    Department of Surgery, National Hospital Organization Osaka National Hospital
  • Tsujinaka Toshimasa
    Department of Surgery, National Hospital Organization Osaka National Hospital

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  • 拠点病院におけるＨＩＶ陽性肛門疾患に対する治療成績と現況

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Abstract

Purpose: We have opened an anorectal clinic for HIV-positive patients since July 2005, and introduce points for treatment at this time.<br> Patients: We examined thirty-two cases (70%) of condyloma acuminatum, eight cases (17%) of anal fistula (perianal abscess), three cases (7%) of hemorrhoids, one case (2%) of anal polyp, one case (2%) of Fourier' gangrene (necrotizing fasciitis), and one case (2%) of anal cancer, total 36 cases (all cases were men). These cases were treated with a total of forty-five operations, and one chemoradiation therapy as of June 30, 2007. All patients visited our hospital for the treatment at the HIV clinic.<br> Results: One patient had postoperative bleeding and two patients had recurrent condyloma acuminatum.<br> Design and suggestion: It is more important to set up a proper environment than to prepare a special technique. Surgery for HIV-positive patients with anal diseases should be managed in a manner similar to that of patients with other infectious diseases.<br>

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