Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients
Yıl: 2018 Cilt: 3 Sayı: 2 Sayfa Aralığı: 49 - 52 Metin Dili: İngilizce DOI: 10.25000/acem.406511 İndeks Tarihi: 01-03-2019
Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients
Öz: Aim: Deciding on the type of fistula and deciding on the most appropriate type of surgery is still a challenge foranal fistula disease. In this study, we aimed to evaluate whether magnetic resonance imaging (MRI), endoscopicexamination and co-administration of both in preoperative preparations of anal fistulas are beneficial in thisrespect.Methods: The study was retrospectively performed in patients treated surgically for perianal fistula between2008 and 2017. The data of 307 patients operated for anal fistulas were reviewed with hospital records. Patientswere grouped under the headings of preoperative MRI and non-MRI, endoscopic and non-endoscopicexamination, and both performed and non-performed. The demographic data (age, sex), fistula type (simple orcomplicated), presence or absence of seton and the type of surgery were recorded. These parameters werecompared with the groups.Results: In the preoperative evaluation, 162 (53%) patients had MRI, 83 (27%) patients had endoscopicexamination and 60 (20%) patients had both. There was a statistically significant correlation between thepresence of preoperative MRI and the need for seton placement (p <0.05 for all). Preoperative MRI,preoperative endoscopy and preoperative both modalities groups didn’t show statistically significant correlationwith patient’s demographic data, fistula type and surgical method (p> 0.05 for all).Conclusion: Preoperative modalities such as MRI and endoscopy are not sufficient in determining the type offistula in an anal fistula and determining the surgical method to be applied. We believe that combining thesestudies with perioperative examination may be helpful in obtaining more effective results. Also, performingMRI preoperatively may help surgeons for decision of seton placement.
Anahtar Kelime: Konular:
Perianal fistül tedavisinde tanısal yöntemlerin kullanımı: 307 hastanın retrospektif kohort çalışması
Öz: Amaç: Anal fistül hastalığında fistül tipine karar vermek ve en uygun ameliyat tipine karar vermek ileri tetkiklerin kullanılmasına karşın halen içerisinde zorluklar barındırmaktadır. Bu çalışmada, anal fistül hastalarının ameliyat öncesi hazırlıklarında manyetik rezonans görüntüleme (MRG), endoskopik inceleme ve her ikisinin birlikte uygulanmasının bu konuda yararlı olup olmadığını değerlendirmeyi amaçladık. Yöntemler: Çalışma 2008-2017 yılları arasında perianal fistül nedeniyle cerrahi tedavi uygulanan hastalarda retrospektif olarak yapıldı. Anal fistül nedeniyle ameliyat edilen 307 hastanın verileri hastane kayıtları ile gözden geçirildi. Hastalar ameliyat öncesi MRG yapılan ve yapılmayanlar, endoskopik inceleme yapılan ve yapılmayanlar ve her ikisi yapılan ve yapılmayanlar başlıkları altında gruplandırıldı. Hastaların demografik verileri (yaş, cinsiyet), fistül tipi (basit veya komplike), seton yerleşiminin olup olmadığı ve uygulanan cerrahi tipi kaydedildi. Bu parametreler gruplarla karşılaştırıldı. Bulgular: Ameliyat öncesi değerlendirmede 162 (% 53) hastaya MRG, 83 (% 27) hastaya endoskopik inceleme ve 60 (% 20) hastaya da her ikisinin birden yapıldığı saptandı. Ameliyat öncesi MRG varlığı ile seton yerleştirilme gereksinimi arasında istatistiksel olarak anlamlı korelasyon saptandı (p<0,05). Ameliyat öncesi MRG, ameliyat öncesi endoskopi ve ameliyat öncesi her iki uygulamanın varlığı ile hastaların demografik özellikleri, fistül tipi ve uygulanan cerrahi tipi arasında istatistiksel olarak anlamlı ilişki saptanmadı (p>0,05). Sonuç: Anal fistül hastalığında fistül tipini saptamada ve uygulanacak cerrahi şekline karar vermede MRG, endoskopi gibi preoperatif modaliteler yeterli olamamaktadır, bu incelemelerin peroperatif muayene ile birleştirilerek değerlendirilmesinin daha etkili sonuç elde etmede faydalı olacağı kanaatindeyiz. Ayrıca preoperatif MRG uygulamasının seton gereksinimi konusunda cerrahlara yardımcı olabileceğini düşünmekteyiz.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Sisik A, Kılıç A (2018). Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. , 49 - 52. 10.25000/acem.406511 |
| Chicago | Sisik Abdullah,Kılıç Ali Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. (2018): 49 - 52. 10.25000/acem.406511 |
| MLA | Sisik Abdullah,Kılıç Ali Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. , 2018, ss.49 - 52. 10.25000/acem.406511 |
| AMA | Sisik A,Kılıç A Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. . 2018; 49 - 52. 10.25000/acem.406511 |
| Vancouver | Sisik A,Kılıç A Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. . 2018; 49 - 52. 10.25000/acem.406511 |
| IEEE | Sisik A,Kılıç A "Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients." , ss.49 - 52, 2018. 10.25000/acem.406511 |
| ISNAD | Sisik, Abdullah - Kılıç, Ali. "Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients". (2018), 49-52. https://doi.org/10.25000/acem.406511 |
| APA | Sisik A, Kılıç A (2018). Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. Archives of Clinical and Experimental Medicine, 3(2), 49 - 52. 10.25000/acem.406511 |
| Chicago | Sisik Abdullah,Kılıç Ali Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. Archives of Clinical and Experimental Medicine 3, no.2 (2018): 49 - 52. 10.25000/acem.406511 |
| MLA | Sisik Abdullah,Kılıç Ali Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. Archives of Clinical and Experimental Medicine, vol.3, no.2, 2018, ss.49 - 52. 10.25000/acem.406511 |
| AMA | Sisik A,Kılıç A Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. Archives of Clinical and Experimental Medicine. 2018; 3(2): 49 - 52. 10.25000/acem.406511 |
| Vancouver | Sisik A,Kılıç A Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients. Archives of Clinical and Experimental Medicine. 2018; 3(2): 49 - 52. 10.25000/acem.406511 |
| IEEE | Sisik A,Kılıç A "Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients." Archives of Clinical and Experimental Medicine, 3, ss.49 - 52, 2018. 10.25000/acem.406511 |
| ISNAD | Sisik, Abdullah - Kılıç, Ali. "Use of diagnostic modalities in the treatment of perianal fistula: A retrospective cohort study of 307 patients". Archives of Clinical and Experimental Medicine 3/2 (2018), 49-52. https://doi.org/10.25000/acem.406511 |
