Persistent fistula after anorectal abscess drainage: Local experience of 11 years
| Autor: | Phillip Lung, Phil Tozer, Alan Askari, Kapil Sahnan, R. K. S. Phillips, Ailsa Hart, Omar Faiz, Samuel O Adegbola, Janindra Warusavitarne |
|---|---|
| Přispěvatelé: | Royal College of Surgeons of England |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Fistula 030230 surgery Inflammatory bowel disease ANAL FISTULA 0302 clinical medicine Postoperative Complications Crohn Disease Risk Factors Outcome Assessment Health Care Drainage Abscess Dissection Gastroenterology General Medicine IN-ANO Middle Aged Prognosis 030220 oncology & carcinogenesis TRIAL Female Life Sciences & Biomedicine Anal fistula Adult medicine.medical_specialty 03 medical and health sciences Outcome Assessment (Health Care) Sex Factors medicine Humans Rectal Fistula Retrospective Studies Anorectal abscess Anus Diseases Science & Technology Gastroenterology & Hepatology PERIANAL ABSCESS business.industry General surgery Perianal Abscess Retrospective cohort study 1103 Clinical Sciences medicine.disease United Kingdom Surgery business BLIND Follow-Up Studies |
| Popis: | BACKGROUND: The characteristics of patients who develop a fistula-in-ano after an anorectal abscess are unclear. OBJECTIVE: Our study explored this relationship and patient factors associated with fistula development. DESIGN: International Classification of Diseases, 10 Revision, and Classification of Interventions and Procedures, version 4, codes were used to identify all of the patients with a primary anorectal abscess. Multivariable analysis was used to identify factors predictive of fistula formation. SETTINGS: The study was conducted in a district general hospital. PATIENTS: Patients with anorectal abscess who were admitted to our institution (2004-2015) were included. MAIN OUTCOMES MEASURES: The rate of subsequent fistula formation was measured. RESULTS: A total of 1970 abscess patients were identified; 70.0% (n = 1379) were men, and 7.3% (n = 144) had Crohn's disease. Fistulas occurred in 16.2% (n = 319) at a median of 7 months (interquartile range, 3-7 mo). Patients with Crohn's disease were more than twice as likely to develop a fistula than patients without Crohn's disease (32.6% vs 14.9%; OR = 2.5 (95% CI, 1.7-3.7); p < 0.001). Patients with Crohn's disease with a fistula were more likely to be women (55.3% vs 34.6%; p = 0.007) and aged |
| Databáze: | OpenAIRE |
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