Evaluation of three-dimensional endoanal endosonography of perianal fistulas and correlation with surgical findings

Albir, Marina Garcés; Botello, Stephanie García; Valero, Pedro; Santafé, Ángel Sanahuja; Macías, Alejandro Espí; Lorente, Blas Flor; García‐Granero, Eduardo

doi:10.1016/s2173-5077(10)70060-0

Cited by 5 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionsupporting

confidence: 94%

“…We found 91% overall accuracy for definition of fistula type and 92% for the definition of fistula height, with similar very good agreement between two examiners. Our results are consistent with recently published studies on 3D-EAUS [23][24][25][26][27][28][29]. Garc es-Albir et al showed a higher accuracy of 3D-EAUS compared to 2D-EAUS for assessing height of primary tract [23].…”

Section: Discussionsupporting

confidence: 93%

“…Moreover, 3D‐EAUS was not compared to other imaging modalities (2D‐EAUS and/or MRI). However, many excellent comparative studies have already been published and consequently our aims were focused on the evaluation of the accuracy and reproducibility of 3D‐EAUS in the definition of fistula type and height . Our results correlated well and were consistent with the current literature .…”

Section: Discussionsupporting

confidence: 88%

“…Both ultrasound techniques were adequate for the diagnosis of low transsphincteric fistulas; however, 3D‐EAUS was superior for the diagnosis of high transsphincteric tract. The same authors demonstrated a concordance rate between intra‐operative findings and 3D‐EAUS of 79% for primary fistula tracts, validating this technique in the evaluation of perianal fistulas . They demonstrated a tendency to overestimate fistula height with 2D‐EAUS as shown by the lower specificity for the diagnosis of high transsphincteric tracts and lower sensitivity for low transsphincteric fistulas.…”

Section: Discussionmentioning

confidence: 70%

“…3D-EAUS assessment of fistula type (two readers) compared to surgical findings (gold standard).Colorectal Disease ª 2016 The Association of Coloproctology of Great Britain and Ireland. 19, 378-384 382 3D-EAUS for height and type of anal fistulas demonstrated a concordance rate between intra-operative findings and 3D-EAUS of 79% for primary fistula tracts, validating this technique in the evaluation of perianal fistulas[24]. They demonstrated a tendency to overestimate fistula height with 2D-EAUS as shown by the lower specificity for the diagnosis of high transsphincteric tracts and lower sensitivity for low transsphincteric fistulas.…”

mentioning

confidence: 84%

See 4 more Smart Citations

Three‐dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas

Kołodziejczak¹,

Santoro

Obcowska

et al. 2017

Colorectal Disease

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 70%

mentioning

confidence: 84%

See 3 more Smart Citations

Three‐dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas

Kołodziejczak¹,

Santoro

Obcowska

et al. 2017

Colorectal Disease

View full text Add to dashboard Cite

show abstract

Sphincter damage during fistulotomy for perianal fistulae and its relationship with faecal incontinence

García-Botello

Garcés-Albir

Espi-Macías

et al. 2021

Langenbecks Arch Surg

View full text Add to dashboard Cite

Background The length of sphincter which can be divided during fistulotomy for perianal fistula is unclear. The aim was to quantify sphincter damage during fistulotomy and determine the relationship between such damage with symptoms and severity of faecal incontinence and long-term quality of life (QOL). Methods A prospective cohort study was performed over a 2-year period. Patients with intersphincteric and mid to low transsphincteric perianal fistulas without risk factors for faecal incontinence were scheduled for fistulotomy. All patients underwent 3D endoanal ultrasound (3D-EAUS) pre-operatively and 8 weeks postoperatively. Measurements were taken of pre- and postoperative anal sphincter involvement and division. Anal continence was assessed using the Jorge-Wexner scale and QOL scores pre, 6 and 12 months postoperatively. Results Forty-nine patients were selected. A strong correlation between pre- and postoperative measurements was found p < 0.001. A median length of 41% of the external anal sphincter and 32% of the internal anal sphincter was divided during fistulotomy. Significant differences in mild symptoms of anal continence were found with increasing length of external anal sphincter division. But there was no significant deterioration in continence, soiling, or quality of life scores at the 1-year follow-up. Division of over two-thirds of the external anal sphincter was associated with the highest incontinence rates. Conclusions 3D-EAUS is a valuable tool for quantifying the extent of sphincter involvement pre- and postoperatively. Post-fistulotomy faecal incontinence is mild and increases with increasing length of sphincter division but does not affect long-term quality of life.

show abstract

Fistulotomy for the Surgical Treatment of Perianal Fistula of Cryptoglandular Origin

Xynos

2019

FU Med Biol

View full text Add to dashboard Cite

Perianal fistula usually results from a non-specific infection of the cryptic glands located at the anal dentate line. Identification of the exact course of a perianal fistula and the extent of anal sphincteric complex involvement are of paramount importance, in order to design the therapeutic and interventional approach and achieve the best results without impairment of the anorectal function. Several interventional methods are in use for the surgical treatment of CPF, including fistulotomy, insertion of cutting “seton”, core fistulectomy, ligation of the intersphincteric fistulous track (LIFT), rectal advancement flap, injection of fibrin glue at the fistulous track, insertion of fistulous plug, and obliteration of the fistulous track with the use of Laser. In clinical practice a combination of the aforementioned methods can be used, in particular for the complex-high or recurrent fistulae.

show abstract

Evaluation of three-dimensional endoanal endosonography of perianal fistulas and correlation with surgical findings

Cited by 5 publications

References 12 publications

Three‐dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas

Three‐dimensional endoanal ultrasound is accurate and reproducible in determining type and height of anal fistulas

Sphincter damage during fistulotomy for perianal fistulae and its relationship with faecal incontinence

Fistulotomy for the Surgical Treatment of Perianal Fistula of Cryptoglandular Origin

Contact Info

Product

Resources

About