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Anorectal fistula

MedGen UID:
56208
Concept ID:
C0149889
Pathologic Function
Synonyms: Anal Fistula; Anorectal Fistula
SNOMED CT: Anorectal fistula (72779005)

Definition

A pathologic tract that connects an opening in the anal canal to the perianal skin. In the vast majority of cases there is a history of perianal abscess. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnorectal fistula

Professional guidelines

PubMed

Hannes S, Kochergin M, Al-Haidary J, Götze T, Habbe N
Int J Colorectal Dis 2023 Aug 30;38(1):222. doi: 10.1007/s00384-023-04516-4. PMID: 37646885
Expert Panel on Gastrointestinal Imaging, Levy AD, Liu PS, Kim DH, Fowler KJ, Bharucha AE, Chang KJ, Cilenti E, Gage KL, Garcia EM, Kambadakone AR, Korngold EK, Marin D, Moreno C, Pietryga JA, Santillan CS, Weinstein S, Wexner SD, Carucci LR
J Am Coll Radiol 2021 Nov;18(11S):S268-S282. doi: 10.1016/j.jacr.2021.08.009. PMID: 34794588
Lopez N, Ramamoorthy S, Sandborn WJ
Expert Rev Gastroenterol Hepatol 2019 Jun;13(6):563-577. Epub 2019 Apr 26 doi: 10.1080/17474124.2019.1608818. PMID: 31023087Free PMC Article

Recent clinical studies

Etiology

Wang C, Huang T, Wang X
Minerva Gastroenterol (Torino) 2023 Dec;69(4):529-536. doi: 10.23736/S2724-5985.21.02925-9. PMID: 38197847
Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ
Tech Coloproctol 2022 Oct;26(10):783-795. Epub 2022 Mar 28 doi: 10.1007/s10151-022-02614-z. PMID: 35347492
Zabot GP, Cassol O, Saad-Hossne R, Bemelman W
World J Gastroenterol 2020 Nov 14;26(42):6572-6581. doi: 10.3748/wjg.v26.i42.6572. PMID: 33268947Free PMC Article
Fox A, Tietze PH, Ramakrishnan K
FP Essent 2014 Apr;419:20-7. PMID: 24742084
Jacob TJ, Perakath B, Keighley MR
Cochrane Database Syst Rev 2010 May 12;(5):CD006319. doi: 10.1002/14651858.CD006319.pub2. PMID: 20464741

Diagnosis

Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ
Tech Coloproctol 2022 Oct;26(10):783-795. Epub 2022 Mar 28 doi: 10.1007/s10151-022-02614-z. PMID: 35347492
Breton J, Tanes C, Tu V, Albenberg L, Rowley S, Devas N, Hwang R, Kachelries K, Wu GD, Baldassano RN, Bittinger K, Mattei P
J Crohns Colitis 2022 Aug 30;16(8):1281-1292. doi: 10.1093/ecco-jcc/jjac032. PMID: 35211723
Expert Panel on Gastrointestinal Imaging, Levy AD, Liu PS, Kim DH, Fowler KJ, Bharucha AE, Chang KJ, Cilenti E, Gage KL, Garcia EM, Kambadakone AR, Korngold EK, Marin D, Moreno C, Pietryga JA, Santillan CS, Weinstein S, Wexner SD, Carucci LR
J Am Coll Radiol 2021 Nov;18(11S):S268-S282. doi: 10.1016/j.jacr.2021.08.009. PMID: 34794588
Zabot GP, Cassol O, Saad-Hossne R, Bemelman W
World J Gastroenterol 2020 Nov 14;26(42):6572-6581. doi: 10.3748/wjg.v26.i42.6572. PMID: 33268947Free PMC Article
Fox A, Tietze PH, Ramakrishnan K
FP Essent 2014 Apr;419:20-7. PMID: 24742084

Therapy

Khamar J, Sachdeva A, McKechnie T, Lee Y, Tessier L, Hong D, Eskicioglu C
Tech Coloproctol 2023 Dec 13;28(1):12. doi: 10.1007/s10151-023-02886-z. PMID: 38091125
Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ
Tech Coloproctol 2022 Oct;26(10):783-795. Epub 2022 Mar 28 doi: 10.1007/s10151-022-02614-z. PMID: 35347492
Lopez N, Ramamoorthy S, Sandborn WJ
Expert Rev Gastroenterol Hepatol 2019 Jun;13(6):563-577. Epub 2019 Apr 26 doi: 10.1080/17474124.2019.1608818. PMID: 31023087Free PMC Article
Bolshinsky V, Church J
Dis Colon Rectum 2018 Sep;61(9):1121-1123. doi: 10.1097/DCR.0000000000001132. PMID: 29944577
Jacob TJ, Perakath B, Keighley MR
Cochrane Database Syst Rev 2010 May 12;(5):CD006319. doi: 10.1002/14651858.CD006319.pub2. PMID: 20464741

Prognosis

Khamar J, Sachdeva A, McKechnie T, Lee Y, Tessier L, Hong D, Eskicioglu C
Tech Coloproctol 2023 Dec 13;28(1):12. doi: 10.1007/s10151-023-02886-z. PMID: 38091125
Zabot GP, Cassol O, Saad-Hossne R, Bemelman W
World J Gastroenterol 2020 Nov 14;26(42):6572-6581. doi: 10.3748/wjg.v26.i42.6572. PMID: 33268947Free PMC Article
Regusci L, Fasolini F, Meinero P, Caccia G, Ruggeri G, Serati M, Braga A
Tech Coloproctol 2020 Jul;24(7):741-746. Epub 2020 Apr 21 doi: 10.1007/s10151-020-02213-w. PMID: 32318991
Lopez N, Ramamoorthy S, Sandborn WJ
Expert Rev Gastroenterol Hepatol 2019 Jun;13(6):563-577. Epub 2019 Apr 26 doi: 10.1080/17474124.2019.1608818. PMID: 31023087Free PMC Article
Ky A, Sohn N, Weinstein MA, Korelitz BI
Dis Colon Rectum 1998 Aug;41(8):992-6. doi: 10.1007/BF02237388. PMID: 9715154

Clinical prediction guides

Khamar J, Sachdeva A, McKechnie T, Lee Y, Tessier L, Hong D, Eskicioglu C
Tech Coloproctol 2023 Dec 13;28(1):12. doi: 10.1007/s10151-023-02886-z. PMID: 38091125
El-Hussuna A, Lemser CE, Iversen AT, Allin KH, Jess T
Colorectal Dis 2023 Jul;25(7):1453-1459. Epub 2023 Apr 21 doi: 10.1111/codi.16581. PMID: 37086006
Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ
Tech Coloproctol 2022 Oct;26(10):783-795. Epub 2022 Mar 28 doi: 10.1007/s10151-022-02614-z. PMID: 35347492
Grott M, Rickert A, Hetjens S, Kienle P
Int J Colorectal Dis 2021 Mar;36(3):569-580. Epub 2021 Jan 2 doi: 10.1007/s00384-020-03825-2. PMID: 33386945
Regusci L, Fasolini F, Meinero P, Caccia G, Ruggeri G, Serati M, Braga A
Tech Coloproctol 2020 Jul;24(7):741-746. Epub 2020 Apr 21 doi: 10.1007/s10151-020-02213-w. PMID: 32318991

Recent systematic reviews

Wang C, Huang T, Wang X
Minerva Gastroenterol (Torino) 2023 Dec;69(4):529-536. doi: 10.23736/S2724-5985.21.02925-9. PMID: 38197847
Khamar J, Sachdeva A, McKechnie T, Lee Y, Tessier L, Hong D, Eskicioglu C
Tech Coloproctol 2023 Dec 13;28(1):12. doi: 10.1007/s10151-023-02886-z. PMID: 38091125
Tian Z, Li YL, Nan SJ, Xiu WC, Wang YQ
Tech Coloproctol 2022 Oct;26(10):783-795. Epub 2022 Mar 28 doi: 10.1007/s10151-022-02614-z. PMID: 35347492
Prosst R
Minim Invasive Ther Allied Technol 2019 Oct;28(5):261-267. Epub 2018 Oct 11 doi: 10.1080/13645706.2018.1521837. PMID: 30307342
Jacob TJ, Perakath B, Keighley MR
Cochrane Database Syst Rev 2010 May 12;(5):CD006319. doi: 10.1002/14651858.CD006319.pub2. PMID: 20464741

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