Document Detail


Prognostic value of endoanal ultrasound for fistula-in-ano: a retrospective analysis.
MedLine Citation:
PMID:  18461397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This study was designed to assess whether preoperative endoanal ultrasound plays a prognostic role in the surgical outcome of anal fistula. METHODS: A retrospective review was conducted at a single institution. RESULTS: Sixty-nine patients underwent 83 studies. Indications for endoanal ultrasound included complex fistulas and tracts, multiple external openings, recurrent fistulas, and/or failed previous surgical intervention. Mean age was 51.7 years. Fifty-three patients (77 percent) were men. Mean duration of symptoms was 3.1 years. Forty-nine patients (71 percent) had undergone previous surgical intervention to eradicate sepsis or fistula. Sixty patients (87 percent) underwent surgical interventions and were divided into two groups: Group A (73.3 percent), concordance with ultrasound findings; and Group B (26.7 percent), nonconcordance. Mean follow-up in the surgical group was 15.6 months. Measured outcome was total number of operations per patient and failure rate of primary surgical intervention. No difference was noted in mean total number of operations between Group A (1.57) and Group B (1.69) (P = 0.71). There was a statistically nonsignificant trend toward a higher failure rate of the primary intervention in the nonconcordance group [failure rate 18.2 percent in Group A vs. 25 percent in Group B (P = 0.72)]. CONCLUSIONS: The findings and accuracy of preoperative endoanal ultrasound did not influence postoperative outcome.
Authors:
Nicholas Weisman; Maher A Abbas
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-05-07
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  51     ISSN:  1530-0358     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-03     Completed Date:  2008-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1089-92     Citation Subset:  IM    
Affiliation:
Colon and Rectal Surgery, Department of Surgery, Kaiser Permanente, 4760 Sunset Boulevard, Los Angeles, California 90027, California.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anal Canal / surgery,  ultrasonography
Digestive System Surgical Procedures / methods
Endosonography / methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Preoperative Care / methods
Prognosis
Rectal Fistula / surgery,  ultrasonography*
Recurrence
Retrospective Studies
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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