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Fistulotomy

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https://www.readbyqxmd.com/read/27785311/obesity-and-outcome-of-crohn-s-associated-perianal-fistula-surgery-a-case-control-study
#1
Ashish Manne, Ali S Khan, Talha A Malik
BACKGROUND: Evidence suggests that obesity (body mass index (BMI) > 30 kg/m(2)) adversely affects several outcomes in Crohn's disease (CD). CD-associated perianal fistula (CDPF) represents a debilitating phenotype with a clinical course that may be affected by obesity. We hypothesized that obese CD patients would be more likely to have poor outcomes following CDPF surgery. METHODS: We designed a case-control study of CD patients who underwent surgery for CDPF between 2000 and 2013 with documented pre-operative BMI and post-operative outcome...
December 2015: Gastroenterology Research
https://www.readbyqxmd.com/read/27777858/meta-analysis-of-randomized-clinical-trials-comparing-fistulectomy-versus-fistulotomy-for-low-anal-fistula
#2
Yansong Xu, Siyuang Liang, Weizhong Tang
OBJECTIVE: We evaluated the efficacy of fistulectomy compared to fistulotomy, and which procedure was the best procedure for patients with low anal fistula. METHODS: The literature search included PubMed, EMBASE, Cochrane library, Google original studies and a manual search of reference on the topic of fistulectomy compared to fistulotomy for anal fistula that had a deadline for publication by June 2016. Randomized controlled trials studies were included in the review...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27765686/ef%C3%AF-cacy-of-10-sucralfate-ointment-after-anal-fistulotomy-a-prospective-double-blind-randomized-placebo-controlled-trial
#3
Mina Alvandipour, Shahram Ala, Hasan Tavakoli, Jamshid Yazdani Charati, Afshin Shiva
INTRODUCTION: The most frequent problems after anal fistulotomy are pain, bleeding, and delayed or impaired wound healing. Topical Sucralfate preparation has been used to treat a wide variety of wounds. In this study, we investigate effects of 10% sucralfate ointment on wound healing and postoperative pain after fistulotomy. METHODS AND MATERIALS: A total of 41 patients undergoing anorectal fistulotomy were included in this randomized, blinded, controlled trial and were randomly allocated to either sucralfate ointment (every 12 h) or placebo...
October 17, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27704667/quality-of-life-in-the-following-fistulotomy-short-term-follow-up
#4
H A Owen, G N Buchanan, A Schizas, A Emmanuel, R Cohen, A B Williams
INTRODUCTION: Anal fistula causes pain, discharge of pus and blood. Fistulotomy has the highest success, however, can risk continence; treatment balances cure with continence. This study assessed the impact of fistulotomy on Quality Of Life (QOL) and continence. METHODS: Patients selected for fistulotomy prospectively completed St Mark's Continence Score (full incontinence = 24) and Short Form - 36 questionnaires pre-operatively at two institutions with an interest in anal fistula, and reassessed 3 months post-operatively...
October 5, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27663698/a-systematic-review-of-the-management-of-anal-fistula-in-infants
#5
S H Emile, H Elfeki, M Abdelnaby
BACKGROUND: Fistula-in-ano (FIA) in infants differs, in several ways, from FIA in adults. The current review aims to assess FIA in infants less than 2 years old and to illustrate the outcome of different treatment modalities described in the literature. METHODS: An organized search of the English literature over the past 25 years was conducted according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Electronic databases and Google Scholar were searched for articles focusing on management of FIA in infants...
September 23, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27642848/optimal-use-of-wire-assisted-techniques-and-precut-sphincterotomy
#6
REVIEW
Tae Hoon Lee, Sang-Heum Park
Various endoscopic techniques have been developed to overcome the difficulties in biliary or pancreatic access during endoscopic retrograde cholangiopancreatography, according to the preference of the endoscopist or the aim of the procedures. In terms of endoscopic methods, guidewire-assisted cannulation is a commonly used and well-known initial cannulation technique, or an alternative in cases of difficult cannulation. In addition, precut sphincterotomy encompasses a range of available rescue techniques, including conventional precut, precut fistulotomy, transpancreatic septotomy, and precut after insertion of pancreatic stent or pancreatic duct guidewire-guided septal precut...
September 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27550245/surgical-management-of-fistula-in-ano-among-patients-with-crohn-s-disease-analysis-of-outcomes-after-fistulotomy-or-seton-placement-single-center-experience
#7
I Papaconstantinou, E Kontis, V Koutoulidis, G Mantzaris, I Vassiliou
BACKGROUND AND AIM: Fistula-in-ano is a common problem among patients with Crohn's disease and carries significant morbidity. We aimed to study the outcomes of surgical treatment of fistula-in-ano after fistulotomy or seton placement in patients with perianal fistulizing Crohn's disease. MATERIAL AND METHODS: A retrospective observational study of 59 patients diagnosed with Crohn's disease, who were treated surgically for fistula-in-ano between 2010 and 2014 in our department...
August 22, 2016: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27423057/surgical-management-of-fistulating-perianal-crohn-s-disease-a-uk-survey
#8
M J Lee, N Heywood, P M Sagar, S R Brown, N S Fearnhead
AIM: Around one-third of patients with Crohn's disease are affected by Crohn's fistula-in-ano (pCD). It typically follows a chronic course and patients undergo long-term medical and surgical therapy. We set out to describe current surgical practice in the management of pCD in the UK. METHODS: A survey of surgical management of pCD was designed by an expert group of colorectal surgeons and gastroenterologists. This assessed acute, elective, multidisciplinary and definitive surgical management...
July 16, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27299638/papillary-cannulation-and-sphincterotomy-techniques-at-ercp-european-society-of-gastrointestinal-endoscopy-esge-clinical-guideline
#9
Pier Alberto Testoni, Alberto Mariani, Lars Aabakken, Marianna Arvanitakis, Erwan Bories, Guido Costamagna, Jacques Devière, Mario Dinis-Ribeiro, Jean-Marc Dumonceau, Marc Giovannini, Tibor Gyokeres, Michael Hafner, Jorma Halttunen, Cesare Hassan, Luis Lopes, Ioannis S Papanikolaou, Tony C Tham, Andrea Tringali, Jeanin van Hooft, Earl J Williams
This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk to the patient. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations 1 ESGE suggests that difficult biliary cannulation is defined by the presence of one or more of the following: more than 5 contacts with the papilla whilst attempting to cannulate; more than 5 minutes spent attempting to cannulate following visualization of the papilla; more than one unintended pancreatic duct cannulation or opacification (low quality evidence, weak recommendation)...
July 2016: Endoscopy
https://www.readbyqxmd.com/read/27129550/needle-knife-papillotomy-and-fistulotomy-improved-the-treatment-outcome-of-patients-with-difficult-biliary-cannulation
#10
Qi-Sheng Zhang, Bing Han, Jian-Hua Xu, Peng Gao, Yu-Cui Shen
BACKGROUND AND AIMS: Needle-knife papillotomy and fistulotomy (NKPF) is a new, modified technique designed for difficult biliary cannulation. The safety and efficacy of performing NKPF based on characteristics of main duodenal papilla (MDP) was evaluated. METHODS: We performed a retrospective review of consecutive patients with intact papilla who were established as candidates for therapeutic ERCP at tertiary referral center. A total of 532 patients were included in conventional endoscopic retrograde cholangiopancreatography (ERCP) group in which repeated cannulation was tried in patients with difficult bile duct cannulation; and 598 patients enrolled in early NKPF group according to predefined parameters...
December 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27102829/utility-of-needle-knife-fistulotomy-as-an-initial-method-of-biliary-cannulation-to-prevent-post-ercp-pancreatitis-in-a-highly-selected-at-risk-group-a-single-arm-prospective-feasibility-study
#11
Young-Joo Jin, Seok Jeong, Don Haeng Lee
BACKGROUND: /Aim: We intended to assess the feasibility of needle-knife fistulotomy (NKF) as an initial procedure for biliary access in common bile duct (CBD) stone patients who were at increased risk for post-ERCP pancreatitis (PEP). METHOD: Fifty-five patients who underwent ERCP with NKF for CBD stone at our institution between July, 2013, and May, 2015, were prospectively enrolled in this study. They had one or more of the following risk factors for PEP: young age (<60 years), female, or normal CBD diameter (≤9 mm)...
April 18, 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27092315/gaining-competence-in-needle-knife-fistulotomy-can-i-begin-on-my-own
#12
Luís Lopes, Mário Dinis-Ribeiro, Carla Rolanda
BACKGROUND: While there are guidelines for appropriate training in ERCP, these are non-existent for needle-knife precut. The aim of this study was: (1) evaluate the experience curve of three endoscopists in needle-knife fistulotomy (NKF); (2) propose a minimum number of NKF procedures to attest proficiency. METHODS: Between November 1997 and March 2011, the first 120 consecutive NKF performed by three endoscopists (A, B, and C) were selected (360 patients) from three centers...
April 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27055130/comparison-between-99mtc-sulesomab-and-18f-fdg-pet-ct-in-a-patient-with-suspected-prosthetic-joint-infection
#13
Domenico Albano, Giovanni Bosio, Barbara Paghera, Francesco Bertagna
Diagnosing prosthetic joint infection is difficult; clinical signs and symptoms, laboratory tests, radiography, and joint aspiration are less sensitive and specific. We report a patient with fever and painful bilateral hip prosthesis, who underwent Tc-sulesomab scan showing moderate tracer uptake at the lateral surface of the right thigh and no signs of prosthesis infection. The F-FDG-PET/CT showed high uptake at the soft tissue of the right hip prosthesis and detected a fistula. Moreover PET/CT discovered an initial bone marrow involvement at the right femur...
June 2016: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/26988437/management-of-low-transsphincteric-anal-fistula-with-serial-setons-and-interval-muscle-cutting-fistulotomy
#14
Chen Wang, Lester Rosen
This study evaluates low transsphincteric anal fistula managed by serial setons and interval fistulotomy, with attention to healing without recurrence and preservation of continence. Following Institutional Review Board approval, consecutive anal fistula operations performed by a single surgeon from January 1, 2009 to December 31, 2013 were retrospectively reviewed using electronic medical records and telephone interviews for patients lost to follow up. Of the 71 patients, 26 (37%) had low transsphincteric fistula (23 males and 3 females; mean age: 46 years), treated at our institution by seton placement followed by interval surgical muscle cutting and subsequent seton replacement or final fistulotomy...
March 2016: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/26963055/treatment-of-perianal-fistulas-in-poland
#15
Łukasz Dziki, Michał Mik, Radzisław Trzciński, Marcin Włodarczyk, Mariusz Skoneczny, Adam Dziki
UNLABELLED: A perianal fistula is a pathological canal covered by granulation tissue connecting the anal canal and perianal area epidermis. The above-mentioned problem is the reason for the patient to visit the surgeonproctologist. Unfortunately, the disease is characterized by a high recurrence rate, even despite proper management. The aim of the study was to determine the current condition of perianal fistula treatment methods in everyday surgical practice, considering members of the Society of Polish Surgeons...
December 2015: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/26881235/outcomes-of-various-interventions-for-first-time-perianal-abscesses-in-children
#16
Alexander Juth Karlsson, Martin Salö, Pernilla Stenström
INTRODUCTION: In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted. AIM: To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula. METHOD: A retrospective review was conducted, analyzing children (ages 0-15 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months...
2016: BioMed Research International
https://www.readbyqxmd.com/read/26649806/a-precut-fistulotomy-technique-for-difficult-biliary-cannulation
#17
LETTER
Hironari Kato, Koichiro Tsutsumi, Hiroyuki Okada
No abstract text is available yet for this article.
April 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/26558554/predictive-factors-for-recurrence-of-cryptoglandular-fistulae-characterized-by-preoperative-three-dimensional-endoanal-ultrasound
#18
A P Visscher, D Schuur, R A E Slooff, W J H J Meijerink, C B H Deen-Molenaar, R J F Felt-Bersma
AIM: Precise information regarding the location of an anal fistula and its relationship to adjacent structures is necessary for selecting the best surgical strategy. Retrospective and cross-sectional studies were performed to determine predictive factors for recurrence of anal fistula from preoperative examination by three-dimensional endoanal ultrasound (3D-EAUS). METHOD: Patients in our tertiary centre and in a private centre specialized in proctology undergoing preoperative 3D-EAUS for cryptoglandular anal fistulae between 2002 and 2012 were included...
May 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26557938/current-management-of-anal-fistulas-in-crohn-s-disease
#19
REVIEW
Jacek Hermann, Piotr Eder, Tomasz Banasiewicz, Konrad Matysiak, Liliana Łykowska-Szuber
Anal fistulas occurring in Crohn's disease (CD) comprise a risk factor of severe course of inflammation. They are frequently intractable due to various factors such as penetration of the anal canal or rectal wall, impaired wound healing, and immunosuppression, among others. Anal fistulas typical to CD develop from fissures or ulcers of the anal canal or rectum. Accurate identification of the type of fistula, such as low and simple or high and complex, is crucial for prognosis as well as for the choice of treatment...
2015: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/26382623/the-outcome-of-fistulotomy-for-anal-fistula-at-1%C3%A2-year-a-prospective-multicentre-french-study
#20
L Abramowitz, D Soudan, M Souffran, D Bouchard, A Castinel, J M Suduca, G Staumont, F Devulder, F Pigot, R Ganansia, M Varastet
AIM: The study aimed to evaluate outcome at 1 year of one- and two-stage fistulotomy for anal fistula in a large group of patients. METHOD: A prospective multicentre observational study was designed to include patients with anal fistula treated by one- or two-stage fistulotomy. Data were collected using a self-administered questionnaire before surgery, during healing and at 1 year after surgery. RESULTS: Group A (133 patients) with a low anal fistula underwent a one-stage fistulotomy...
March 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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