Abstract
Anal fissures rarely occur in patients with ulcerative colitis. Here we report a 26-year-old man diagnosed with ulcerative colitis involving intractable anal fissures. The patient underwent restorative proctocolectomy for ulcerative colitis and sliding skin graft (SSG) for intractable anal fissures. Anal function was monitored by a manometric study. Generally, patients subjected to pouch surgery should retain fairly well-preserved anal sphincter muscle structure and function. A manometric study confirmed that SSG was an effective procedure for the preservation of the sphincter in patients receiving restorative proctocolectomy for ulcerative colitis and intractable fissures.
