Kryptoglandulære analfistler: Kryptoglandulære analfistler

Helene Perregaard, Helene Rask Dalby, Kikke Bartholin Hagen, Anders Dige, Lilli Lundby, Andreas Nordholm-Carstensen

Abstract

Cryptoglandular anal fistulas (AF) cause recurrent anal abscesses and patients risk multiple surgeries due to low healing rates of sphincter-saving procedures. Knowledge of anal anatomy and imaging with MRI or endoanal sonography is crucial to classify AF as simple or complex depending on risk of anal incontinence after fistulotomy as summarised in this review. Fistulotomy has healing rates of > 90%, risks incontinence, and the procedure is reserved for simple fistulas. Complex AF are treated with a draining seton and then with sphincter-saving procedures which have long-term healing rates of about 50%.

Bidragets oversatte titelCryptoglandular anal fistulas
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind183
Udgave nummer36
Sider (fra-til)V04210365.
ISSN0041-5782
StatusUdgivet - 6 sep. 2021

Emneord

  • Anal Canal/diagnostic imaging
  • Fecal Incontinence/etiology
  • Humans
  • Magnetic Resonance Imaging
  • Rectal Fistula/diagnostic imaging
  • Treatment Outcome

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