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Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure

Aho Fält, Ursula LU orcid ; Zawadzki, Antoni LU ; Starck-Söndergaard, Marianne LU ; Bohe, Måns LU ; Regnér, Sara LU orcid and Johnson, Louis Banka LU (2023) In Scandinavian Journal of Gastroenterology 58(10). p.1200-1206
Abstract
Objectives
To explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.

Materials and methods
A retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed... (More)
Objectives
To explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.

Materials and methods
A retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.

Results
A total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Gastroenterology
volume
58
issue
10
pages
1200 - 1206
publisher
Taylor & Francis
external identifiers
  • scopus:85159710050
  • pmid:37203207
ISSN
1502-7708
DOI
10.1080/00365521.2023.2212310
project
Anal fistulae - Three-dimensional endoanal ultrasound and outcomes of collagen plug treatment
3D Endoanal Ultrasound in advanced proctology
Treatment of complex anal fistulas
language
English
LU publication?
yes
id
a6c4176d-93a7-4ef2-b85d-8bf80e1970a0
date added to LUP
2023-05-19 10:57:19
date last changed
2023-11-08 05:58:45
@article{a6c4176d-93a7-4ef2-b85d-8bf80e1970a0,
  abstract     = {{Objectives<br/>To explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.<br/><br/>Materials and methods<br/>A retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.<br/><br/>Results<br/>A total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p}},
  author       = {{Aho Fält, Ursula and Zawadzki, Antoni and Starck-Söndergaard, Marianne and Bohe, Måns and Regnér, Sara and Johnson, Louis Banka}},
  issn         = {{1502-7708}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{10}},
  pages        = {{1200--1206}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Gastroenterology}},
  title        = {{Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure}},
  url          = {{http://dx.doi.org/10.1080/00365521.2023.2212310}},
  doi          = {{10.1080/00365521.2023.2212310}},
  volume       = {{58}},
  year         = {{2023}},
}