Visiting a Coloproctology Patient: Rules and Suggestions

Ratto, Carlo; Litta, Francesco; Donisi, Lorenza; Parello, Angelo

doi:10.1007/978-3-319-09807-4_14

Cited by 1 publication

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anal canal measures around 2.5 to 5 cm in length. 10 It extends from the level of the levator ani muscle to the anal verge and is surrounded by the internal and external anal sphincter. The external anal sphincter is composed of striated muscle and merges proximally with the sling-like puborectalis muscle.…”

Section: Discussionmentioning

confidence: 99%

“…10 The dentate line lies approximately 2 cm proximal to the anal verge and is a crucial landmark in fistula in ano because the anal glands empty into the anal canal at this point. 12…”

Section: Discussionmentioning

confidence: 99%

“…Eisenhammer 14 described the cause of most anal abscesses and fistulae to the presence of infection in the intersphincteric space. 12…”

Section: Discussionmentioning

confidence: 99%

“…These longitudinal folds are linked to each other through anal valves, which in turn form small pockets called crypts of Morgagni. 10 The dentate line lies approximately 2 cm proximal to the anal verge and is a crucial landmark in fistula in ano because the anal glands empty into the anal canal at this point. 12…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Fistula in Ano—A 2-Year Prevalence Study on North Indian Rural Population

Kapur

Varma

et al. 2022

Journal of Gastrointestinal and Abdominal Radiology

View full text Add to dashboard Cite

Perianal fistula (PF) is a common inflammatory condition affecting the perianal region including the sphincter muscles, ischioanal fossae, and the perianal skin. It is notorious to recur and, as a result, causes significant morbidity in both urban and rural population. Magnetic resonance imaging (MRI) has revolutionized imaging in PFs as it provides excellent anatomical visualization of the fistulous tracts, their origin, course, number, chronicity, opening in the external and internal anal sphincter, length of sphincter, evidence of active disease and abscess formation along the tract. It is also very useful in presurgical mapping and reduce the chances of recurrence. Most of the studies done on PFs are based on the urban population. Rural population have a completely different lifestyle which makes them susceptible to various diseases, less prevalent in the urban population. Hence, the purpose of this article is to find the prevalence of different grades in North Indian rural region close to the NCR (National Capital Region). In the study including 98 patients, the maximum number of patients were classified into grade 1 and grade 4 by MRI according to St. James' University Hospital MRI classification. This is the second reported study on prevalence of different grades of PFs in rural population in India. The higher prevalence of grade 4 PFs in our study might be secondary to illiteracy, social stigma, poor hygiene, or higher recurrence rate. Closely understanding the difference in dynamics of urban and rural population, our goal of the study is to determine the prevalence of different grades of PFs in the rural population. We also aim to familiarize physicians, radiologists, and surgeons with the MRI evaluation and grading of PF to help in presurgical mapping and thus, reducing the chances of recurrence. We also recommend further studies to evaluate psycho-social factors as a barrier in seeking early medical care in rural population.

show abstract

Section: Discussionmentioning

confidence: 99%

“…10 The dentate line lies approximately 2 cm proximal to the anal verge and is a crucial landmark in fistula in ano because the anal glands empty into the anal canal at this point. 12…”

Section: Discussionmentioning

confidence: 99%

“…Eisenhammer 14 described the cause of most anal abscesses and fistulae to the presence of infection in the intersphincteric space. 12…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations