Document Detail

Horseshoe track of anal fistula: bad luck or an avoidable extension? Lessons from 82 cases.
MedLine Citation:
PMID:  22443225     Owner:  NLM     Status:  Publisher    
Aim:  The aim of this study was to analyse the characteristics of horseshoe tract formation in anal fistula. Method:  We retrospectively analysed the data from all consecutive patients who underwent surgery for an anal fistula from November 2004 to March 2011. A horseshoe tract was defined as a circumferential extension connecting both sides of the anorectum. Results:  During the period of analysis, 1,876 patients were operated on for a fistula. Of these 82 (4.4%) had a horseshoe extension. The majority (72%) was male and the median age was 46 (17-84) years. The primary tract was high transsphincteric in 90% of cases and the primary opening was posterior in 65% of cases. The location of the horseshoe extension was posterior in 66% of cases with spread in the deep perianal space in 62%. Seventy one percent were cryptoglandular and 24% were seen in Crohn's disease (20). Of the 62 non-Crohn's patients previous treatment was common and included surgery (42), antibiotics alone (41) and non-steroidal anti-inflammatory drugs (21). Conclusion:  Horseshoe extension in anal fistula is uncommon. With Crohn's disease excepted, the majority had had previous treatment. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
V de Parades; N Fathallah; P Blanchard; J D Zeitoun; B Bennadji; P Atienza
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-24
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Proctologie médico-interventionnelle, Groupe hospitalier Diaconesses - Croix Saint Simon, 18, rue du Sergent Bauchat, 75012 Paris, France Gastroenterologie, Hôpital Européen Georges Pompidou, 20, rue Leblanc, 75015 Paris, France Proctologie médico-interventionnelle, Groupe hospitalier Paris Saint-Joseph, 185, rue Raymond Losserand, 75014 Paris, France Service de Biostatistiques et d'Epidémiologie, Institut Gustave Roussy, 39, rue Camille Desmoulins, 94805 Villejuif, France.
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