Tips and algorithm in the treatment of complex perianal fistula

2021 ◽  
Vol 32 (3) ◽  
pp. 398-402
Author(s):  
PJ Moya Forcén ◽  
C Gras ◽  
Á Reina
Keyword(s):  
Perianal Fistula

Adenocarcinoma Developing at the Level of a Chronic Perianal Fistula by Cell Implantation from a Proximal Rectal Cancer

2020 ◽  
Vol 27 (2) ◽  
pp. 133-138
Author(s):  
Lucian Sorin ANDREI ◽  
◽  
Adriana ANDREI ◽  
Radu Sorin POPISTEANU ◽  
Gabriel BECHEANU ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Perianal Fistula ◽  
Cell Implantation

scholarly journals Fistula-Related Cancer in Crohn’s Disease: A Systematic Review

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1445
Author(s):  
Andromachi Kotsafti ◽  
Melania Scarpa ◽  
Imerio Angriman ◽  
Ignazio Castagliuolo ◽  
Antonino Caruso
Keyword(s):  
Systematic Review ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Hpv Vaccination ◽  
Perianal Fistula ◽  
Hpv Infection ◽  
Poor Quality ◽  
Colorectal Disease ◽  
Small Series ◽  
Chron's Disease

Perianal fistulizing Crohn’s disease is a very disabling condition with poor quality of life. Patients with perianal fistulizing Crohn’s disease are also at risk of perianal fistula-related squamous cell carcinoma (SCC). Cancer arising at the site of a chronic perianal fistula is rare in patients with Crohn’s disease and there is a paucity of data regarding its incidence, diagnosis and management. A systematic review of the literature was undertaken using Medline, Embase, Pubmed, Cochrane and Web of Science. Several small series have described sporadic cases with perianal cancer in Crohn’s disease. The incidence rate of SCC related to perianal fistula was very low (<1%). Prognosis was poor. Colorectal disease, chronic perianal disease and HPV infection were possible risk factors. Fistula-related carcinoma in CD (Chron’s disease) can be very difficult to diagnose. Examination may be limited by pain, strictures and induration of the perianal tissues. HPV is an important risk factor with a particular carcinogenesis mechanism. MRI can help clinicians in diagnosis. Examination under anesthesia is highly recommended when findings, a change in symptoms, or simply long-standing disease in the perineum are present. Future studies are needed to understand the role of HPV vaccination in preventing fistula-related cancer.

scholarly journals Significance and Impact of the Intersphincteric Plane Sepsis in the Management of the Perianal Sepsis: Ultrasound Study

2021 ◽  
Author(s):  
Ashraf Talaat Youssef
Keyword(s):  
Digital Rectal Examination ◽  
Perianal Fistula ◽  
Final Diagnosis ◽  
Abscess Formation ◽  
Study Group ◽  
Potential Space ◽  
Anal Glands ◽  
Ultrasound Study ◽  
Perianal Sepsis

Abstract Background The intersphincteric plane (ISP) is a potential space between the external and the internal anal sphincters. About 90% of the perianal sepsis is caused by an obstruction of the ducts of anal glands with subsequent secondary bacterial infection. The imaging modalities used to diagnose perianal sepsis are the ultrasound via endoanal and transperineal routes and magnetic resonance imaging. Objective  The study aimed to identify the various patterns of the ISP sepsis and their incidence among our study group and to clarify the significance of ISP in the pathogenesis of anorectal abscesses and various types of perianal fistula tracts, to optimize the surgical management. Methods Retrospective descriptive study in which 57 patients with an ISP sepsis were evaluated with full medical history, clinical exam, and ultrasound; the final diagnosis was based on combining the results of ultrasound, digital rectal examination under anesthesia, and the operative results. Results The current study showed many patterns of the ISP sepsis and estimated the incidence of each pattern among our study group; such patterns could be fistula tracts, sinus tracts, abscesses, intersphincteric abscess with supralevator extension, sinus with abscess formation, fistula with abscess formation, distension of the ISP with free pus, and other complex patterns like horse abscess, abscess with transsphincteric sinus, and ISP fistula/sinus with transsphincteric branches. Conclusion Understanding the role of the ISP in the pathogenesis of anorectal abscesses and perianal fistula tracts can help in reaching the optimum way of management.

scholarly journals Mucinous adenocarcinoma arising from recurrent perianal fistula in patient with Crohn's disease: case report

2014 ◽  
Vol 34 (3) ◽  
pp. 185-188
Author(s):  
Suelene Suassuna Silvestre de Alencar ◽  
Romualdo da Silva Corrêa ◽  
Cátia de França Bezerra ◽  
Marcelo José Carlos Alencar ◽  
Cristiana Soares Nunes ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Mucinous Adenocarcinoma ◽  
Perianal Fistula ◽  
Disease Case

scholarly journals Seton treatment of perianal fistula with high anal or rectal opening

1995 ◽  
Vol 82 (7) ◽  
pp. 895-897 ◽  
Author(s):  
W. F. Van Tets ◽  
J. H. C. Kuijpers
Keyword(s):  
Perianal Fistula

scholarly journals Outpatient placement of perforated setons prior to treatment of sealants for perianal fistula: A Technical Note

2017 ◽  
Vol 41 ◽  
pp. 56-57
Author(s):  
F.J. Pérez Lara ◽  
A. Ferrer Berges ◽  
H. Oehling de los Reyes ◽  
H. Oliva Muñoz
Keyword(s):  
Perianal Fistula ◽  
Technical Note

Case Series: Does a Combination of Anti-TNF Antibodies and Transient Ileal Fecal Stream Diversion in Severe Crohnʼs Colitis With Perianal Fistula Prevent Definitive Stoma?

2013 ◽  
Vol 108 (10) ◽  
pp. 1666-1668 ◽  
Author(s):  
Mathieu Uzzan ◽  
Carmen Stefanescu ◽  
Léon Maggiori ◽  
Yves Panis ◽  
Yoram Bouhnik ◽  
...  
Keyword(s):  
Case Series ◽  
Perianal Fistula ◽  
Fecal Stream

Management of perianal fistula in Crohnʼs disease

2008 ◽  
Vol 14 (Supplement) ◽  
pp. S266-S268 ◽  
Author(s):  
Ben Siemanowski ◽  
Miguel Regueiro
Keyword(s):  
Perianal Fistula
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