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Japanese Practice Guidelines for Anal Disorders II. Anal fistula

Anal fistulas usually result from an anal gland infection in the intersphincteric space, which is caused by bacteria entering through the anal crypt (cryoptglandular infection). Reports of anal fistulas have been as high as 21 people in 100,000. Anal fistulas are 2-6 times more prevalent in males th...

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Autor principal: Yamana, Tetsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Society of Coloproctology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752149/
https://www.ncbi.nlm.nih.gov/pubmed/31559351
http://dx.doi.org/10.23922/jarc.2018-009
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author Yamana, Tetsuo
author_facet Yamana, Tetsuo
author_sort Yamana, Tetsuo
collection PubMed
description Anal fistulas usually result from an anal gland infection in the intersphincteric space, which is caused by bacteria entering through the anal crypt (cryoptglandular infection). Reports of anal fistulas have been as high as 21 people in 100,000. Anal fistulas are 2-6 times more prevalent in males than females, with the condition occurring most frequently in patients in their 30s and 40s. Anal abscess symptoms include sudden onset of anal pain, swelling, redness, and fever. Purulent discharge or intermittent perianal swelling and pain are most often consistent with anal fistula symptoms. Methods for diagnosing anal fistulas include visual inspection, palpation, digital examination, anoscopic examination, barium enema, fistulography, as well as imaging, such as ultrasound, CT, and MRI. Parks classification is widely adapted in the West; however, Japan usually employs Sumikoshi classification. Antibiotics should be administered in cases of perianal abscess with surrounding cellulitis, or concomitant systemic disease, or those not alleviated by incision and drainage. The site and size of incision and drainage depend upon the abscess type and location. Incisions should be performed taking care not to damage the sphincter muscles and with possible future fistula surgery in mind. As spontaneous recovery is rare, except in the case of children, surgery is the principle approach to anal fistulas. Several approaches are utilized for anal fistulas. A specific procedure may be chosen depending upon curability and anal function. Postsurgical outcomes vary from study to study. Fecal incontinence may occur after fistula surgery, but reports vary.
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spelling pubmed-67521492019-09-26 Japanese Practice Guidelines for Anal Disorders II. Anal fistula Yamana, Tetsuo J Anus Rectum Colon Practice Guidelines Anal fistulas usually result from an anal gland infection in the intersphincteric space, which is caused by bacteria entering through the anal crypt (cryoptglandular infection). Reports of anal fistulas have been as high as 21 people in 100,000. Anal fistulas are 2-6 times more prevalent in males than females, with the condition occurring most frequently in patients in their 30s and 40s. Anal abscess symptoms include sudden onset of anal pain, swelling, redness, and fever. Purulent discharge or intermittent perianal swelling and pain are most often consistent with anal fistula symptoms. Methods for diagnosing anal fistulas include visual inspection, palpation, digital examination, anoscopic examination, barium enema, fistulography, as well as imaging, such as ultrasound, CT, and MRI. Parks classification is widely adapted in the West; however, Japan usually employs Sumikoshi classification. Antibiotics should be administered in cases of perianal abscess with surrounding cellulitis, or concomitant systemic disease, or those not alleviated by incision and drainage. The site and size of incision and drainage depend upon the abscess type and location. Incisions should be performed taking care not to damage the sphincter muscles and with possible future fistula surgery in mind. As spontaneous recovery is rare, except in the case of children, surgery is the principle approach to anal fistulas. Several approaches are utilized for anal fistulas. A specific procedure may be chosen depending upon curability and anal function. Postsurgical outcomes vary from study to study. Fecal incontinence may occur after fistula surgery, but reports vary. The Japan Society of Coloproctology 2018-07-30 /pmc/articles/PMC6752149/ /pubmed/31559351 http://dx.doi.org/10.23922/jarc.2018-009 Text en Copyright © 2018 by The Japan Society of Coloproctology https://creativecommons.org/licenses/by-nc-nd/4.0/ Journal of the Anus, Rectum and Colon is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Practice Guidelines
Yamana, Tetsuo
Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title_full Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title_fullStr Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title_full_unstemmed Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title_short Japanese Practice Guidelines for Anal Disorders II. Anal fistula
title_sort japanese practice guidelines for anal disorders ii. anal fistula
topic Practice Guidelines
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752149/
https://www.ncbi.nlm.nih.gov/pubmed/31559351
http://dx.doi.org/10.23922/jarc.2018-009
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