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- W2183628539 abstract "Summary Introduction. Preoperative determination of the fistula is of great importance in the selection of treatment and the risk of post- operative incontinence. High transsphincteric and intersphincteric fistulas, suprasphincteric fistulas, branching ones, including horseshoe ones and front fistulas in women are associated with an increased risk of complications related to treatment. Aim. The aim of this study was to determine the sensitivity and specificity of endosonographic examinations (EUS - endo- anal ultrasound) to determine the type of the original canal and the location of anal fistula. Material and methods. The material was a group of 424 patients, including 132 women and 292 men with a mean age of 45.8 years, operated because of anal fistula in the period from 1 December 2008 to 8 April 2011. A retrospective study of 424 preoperative EUS examinations and operational protocols in the same patients was conducted. The compatibility of the assessment of fistulas in terms of type of canal and its original location was verified. Results. In EUS examinations 63.1% low fistulas and 36.9% high fistulas were determined, and intraoperatively, respectively 57.6 and 42.2% of fistulas (in 0.2% of cases plural fistula was determined). EUS compliance with the state of the intraoperative assessment of the fistula was obtained in 344 cases (84.3%). The sensitivity and specificity of this method in the evaluation of fistulas were respectively 75 and 91%. Conclusions. EUS is a good additional examination for the determination of the fistula location, regardless of its type. The sensitivity and specificity of the method in the assessment of fistula is respectively 75 and 91%." @default.
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- W2183628539 date "2013-01-01" @default.
- W2183628539 modified "2023-09-25" @default.
- W2183628539 title "The usefulness of preoperative endosonographic differentiation of low and high anal fistula Przydatność przedoperacyjnego badania endosonograficznego w różnicowaniu przetok odbytu niskich z wysokimi" @default.
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