Long-term outcome following mucosal advancement flap for high perianal fistulas and fistulotomy for low perianal fistulas: Recurrent perianal fistulas: Failure of treatment or recurrent patient disease?
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Outcomes of surgical treatment for perianal fistulas in Crohn’s disease
Background The aim of this study was to assess recurrence rates and long term functional outcome after surgical treatment of anal fistulas in Crohn’s disease. Methods Between 1995 and 2006, a consecutive series of patients were treated for perianal fistulas as a result of Crohn’s disease. Only patients without proctitis or active sepsis underwent fistulotomy or advancement. The following risk f...
متن کاملThe Anal Fistula Plug versus the mucosal advancement flap for the treatment of Anorectal Fistula (PLUG trial)
BACKGROUND Low transsphincteric fistulas less than 1/3 of the sphincter complex are easy to treat by fistulotomy with a high success rate. High transsphincteric fistulas remain a surgical challenge. Various surgical procedures are available, but recurrence rates of these techniques are disappointingly high. The mucosal flap advancement is considered the gold standard for the treatment of high p...
متن کامل[Perianal fistulas: developments in the classification and diagnostic techniques, and a new treatment strategy].
The aim of surgical treatment of perianal fistulas is to treat the patient's symptoms, with low recurrence rates and risk of incontinence. In recent years there have been developments regarding the classification and diagnosis ofperianal fistulas. MRI is the most appropriate diagnostic tool. In the hands of an experienced operator anal endosonography is a suitable, less expensive and readily-av...
متن کاملClinical Guidelines Danish Medical Bulletin
A fistula is defined as a pathological connection between the intestine and an inner (bladder or other intestine) or outer (vagina or skin) epithelial surface. Fistulas are discovered in up to 25% of all Crohn’s disease patients during long term follow-up examinations. Most are perianal fistulas, and these may be classified as simple or complex. The initial investigation of perianal fistulas in...
متن کاملThe anal fistula plug treatment compared with the mucosal advancement flap for cryptoglandular high transsphincteric perianal fistula: a double-blinded multicenter randomized trial.
BACKGROUND The anal fistula plug was developed as an alternative treatment for perianal fistulas. OBJECTIVE This study aimed to compare the anal fistula plug with the mucosal advancement flap for the treatment of high transsphincteric fistulas. DESIGN This study was a double-blinded, multicenter, randomized trial. PATIENTS Sixty patients with perianal fistulas were randomly assigned to re...
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تاریخ انتشار 2012