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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?

VAN DER HAGEN, S. J ; BAETEN, C. G ; SOETERS, P. B ; VAN GEMERT, W. G

International journal of colorectal disease, 2006-12, Vol.21 (8), p.784-790 [Periódico revisado por pares]

Heidelberg: Springer

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Título:
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?
Autor: VAN DER HAGEN, S. J ; BAETEN, C. G ; SOETERS, P. B ; VAN GEMERT, W. G
Assuntos: Adult ; Aged ; Biological and medical sciences ; Crohn Disease - complications ; Crohn Disease - surgery ; Digestive System Surgical Procedures - methods ; Disease-Free Survival ; Female ; Follow-Up Studies ; Humans ; Intestinal Mucosa - pathology ; Intestinal Mucosa - surgery ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Rectal Fistula - etiology ; Rectal Fistula - pathology ; Rectal Fistula - surgery ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps ; Time Factors ; Treatment Failure
É parte de: International journal of colorectal disease, 2006-12, Vol.21 (8), p.784-790
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SourceType-Scholarly Journals-1
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Descrição: In this study, we determined the long-term outcome of perianal fistulas treated with mucosal advancement flap (MF) or fistulotomy (FT). One hundred three patients with perianal fistulas were treated by MF for high fistulas or FT for low fistulas and were retrospectively assessed by case-note review and examined at the out-patient clinic. The localization and time of recurrence of the fistula were recorded. Forty-one patients [median follow-up of 72 months (range 48-99)] were treated by an MF, and 62 patients [median follow up of 75 months (range 48-99)] were treated by FT. After 12, 48, and 72 months, the fistula had recurred in 9 (22%), 26 (63%), and 26 (63%) patients of the MF group and in 4 (7%), 16 (26%), and 24 (39%) patients of the FT group, respectively. Eighteen (69%) of the recurrences in the MF group and ten (33%) of the FT group occurred within 24 months after surgery (p=0.01). Four (15%) of the recurrences in the MF group and 13 (54%) of the recurrences in the FT group were present in a different localization (p=0.007). The success rate of both FT and MF techniques decreases with time. Recurrence appears to be caused by failure of treatment and by recurrent patient disease.
Editor: Heidelberg: Springer
Idioma: Inglês

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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?

VAN DER HAGEN, S. J ; BAETEN, C. G ; SOETERS, P. B ; VAN GEMERT, W. G

Heidelberg: Springer

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