当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF COLORECTAL DISEASE期刊下所有文献 > Meta-analysis of randomized clinical trials comparing drainage alone vs primary sphincter-cutting procedures for anorectal abscess-fistula.

Meta-analysis of randomized clinical trials comparing drainage alone vs primary sphincter-cutting procedures for anorectal abscess-fistula.

Abstract：

BACKGROUND AND AIM:Concurrent definitive treatment of underlying fistulas from infected anal glands at the time when the anorectal abscesses are drained is controversial as this is associated with a higher incidence of faecal incontinence, failure and recurrence. This meta-analysis was conducted to determine the merits of drainage alone vs primary sphincter-cutting procedures (which includes fistulotomy and fistulectomy) for anorectal abscess-fistula. METHODS:Medline, Embase and Cochrane Central Register of Controlled Trials database searches identified all randomized controlled trials using the keywords: anorectal abscess, anal sepsis, drainage, fistulotomy, fistulectomy or surgery from 1966 to 2004. The outcome variables analysed were recurrence, faecal continence and wound-healing times. RESULTS:Five trials were considered suitable for the meta-analysis, with a total of 405 patients. Sphincter-cutting procedures for anorectal abscesses resulted in 83% reduction in recurrence rate [relative risk (RR) 0.17, 95% confidence interval (CI) 0.09-0.32, p<0.001]. However, there was a tendency to a higher risk of faecal incontinence to flatus and soiling when primary sphincter-cutting procedure was performed (RR 2.46, 95% CI 0.75-8.06, p=0.140). CONCLUSION:There is no conclusive evidence if simple drainage or sphincter-cutting procedure is better in the treatment of anorectal abscess-fistula.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Quah HM,Tang CL,Eu KW,Chan SY,Samuel M

doi

10.1007/s00384-005-0060-y

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

602-9

issue

6

eissn

0179-1958

issn

1432-1262

journal_volume

21

pub_type

杂志文章,meta分析,评审

相关文献

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE文献大全
  • The microenvironment in the Hirschsprung's disease gut supports myenteric plexus growth.

    abstract：INTRODUCTION:The transplantation of neural crest derived stem cells (NCSC) is a potent alternative for the treatment of Hirschsprung's disease (HSCR). Cells to be transplanted should find an appropriate microenvironment to survive and differentiate. Influences of HSCR-smooth-muscle-protein extracts upon isolated myente...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-012-1411-0

    authors： Hagl CI,Rauch U,Klotz M,Heumüller S,Grundmann D,Ehnert S,Subotic U,Holland-Cunz S,Schäfer KH

    更新日期：2012-06-01 00:00:00

  • Abdominal pain in quiescent inflammatory bowel disease.

    abstract：OBJECTIVES:Inflammation is an important driver of abdominal pain in inflammatory bowel disease (IBD). However, some patients in remission still experience pain. We aimed to identify risk factors associated with abdominal pain in quiescent IBD (QP-IBD) and to characterize differences from patients with active disease ex...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03727-3

    authors： Coates MD,Johri A,Gorrepati VS,Maheshwari P,Dalessio S,Walter V,Stuart A,Koltun W,Bernasko N,Tinsley A,Williams ED,Clarke K

    更新日期：2021-01-01 00:00:00

  • Soiling: anorectal function and results of treatment.

    abstract：:Forty-five patients with soiling but without faecal incontinence were evaluated by means of anorectal function investigations (anal manometry, rectal capacity and saline infusion test). The causes of soiling and the effect of treatment on both soiling and anorectal function were studied. The results were compared with...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF01648548

    authors： Felt-Bersma RJ,Janssen JJ,Klinkenberg-Knol EC,Hoitsma HF,Meuwissen SG

    更新日期：1989-01-01 00:00:00

  • Evaluation of four comorbidity indices and Charlson comorbidity index adjustment for colorectal cancer patients.

    abstract：INTRODUCTION:Cancer survival is related not only to primary malignancy but also to concomitant nonmalignant diseases. The aim of this study was to investigate the prognostic capacity of four comorbidity indices [the Charlson comorbidity index (CCI), the Elixhauser method, the National Institute on Aging (NIA) and Natio...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-014-1972-1

    authors： Marventano S,Grosso G,Mistretta A,Bogusz-Czerniewicz M,Ferranti R,Nolfo F,Giorgianni G,Rametta S,Drago F,Basile F,Biondi A

    更新日期：2014-09-01 00:00:00

  • Screening for the effectiveness of conservative treatment in chronic anal fissure patients using anorectal manometry.

    abstract：PURPOSE:Chemical sphincterotomy (CS) is routinely applied in order to avoid the irreversible anal incontinence associated with the surgical treatment of chronic anal fissure (CAF). However, CS has a lower cure rate than surgery. We developed a screening test (using anal manometry) to separate those patients that are un...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00384-010-0885-x

    authors： Gil J,Luján J,Hernández Q,Gil E,Salom MG,Parrilla P

    更新日期：2010-05-01 00:00:00

  • Factors affecting lymph node yield from patients undergoing colectomy for cancer.

    abstract：PURPOSE:Lymph node (LN) yield is a critical component of colon cancer staging and is often a surrogate for quality assessment in surgery. We investigated the impact of pathologists' training on LN harvest. METHODS:This is a retrospective review on 137 patients undergoing elective colectomy for adenocarcinoma at a sing...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-011-1240-6

    authors： Bamboat ZM,Deperalta D,Dursun A,Berger DL,Bordeianou L

    更新日期：2011-09-01 00:00:00

  • Thirty-seven patients treated with the C-seal: protection of stapled colorectal anastomoses with a biodegradable sheath.

    abstract：PURPOSE:The present study was performed to get a better insight in the incidence of anastomotic leakage leading to reintervention when using the C-seal: a biodegradable sheath that protects the stapled colorectal anastomosis from leakage. METHODS:The C-seal is a thin walled tube-like sheath that forms a protective she...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-013-1724-7

    authors： Morks AN,Havenga K,ten Cate Hoedemaker HO,Leijtens JW,Ploeg RJ,C-seal Study Group.

    更新日期：2013-10-01 00:00:00

  • Long-term outcome after one-stage surgery without preoperative decompression for stage II/III malignant colorectal obstruction: a propensity score-matched analysis.

    abstract：PURPOSE:Whether malignant colorectal obstruction (MCO) after one-stage curative surgery without preoperative decompression has a poor prognosis remains unclear. We assessed long-term outcomes of one-stage surgery without preoperative decompression for stage II/III MCO. METHODS:We retrospectively enrolled patients with...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-019-03413-z

    authors： Takeyama H,Ikeda K,Danno K,Nishigaki T,Yamashita M,Taniguchi H,Oka Y

    更新日期：2019-11-01 00:00:00

  • The effect of preliminary bowel preparation on a simple test of colonic transit in constipated subjects.

    abstract：:The abdominal distribution of orally ingested radioopaque markers is used to assess total and segmental colonic transit in constipated patients, but interpretation may depend on whether studies are carried out on a full colon or one cleared of faeces. We asked 25 severely constipated patients (age 18-74; 22 F, 3 M) to...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00299331

    authors： Bergin AJ,Read NW

    更新日期：1993-07-01 00:00:00

  • To drain or not to drain in colorectal anastomosis: a meta-analysis.

    abstract：BACKGROUND:Currently, many surgeons place a prophylactic drain in the abdominal or pelvic cavity after colorectal anastomosis as a conventional treatment. However, some trials have demonstrated that this procedure may not be beneficial to the patients. OBJECTIVE:To determine whether prophylactic placement of a drain i...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00384-016-2509-6

    authors： Zhang HY,Zhao CL,Xie J,Ye YW,Sun JF,Ding ZH,Xu HN,Ding L

    更新日期：2016-05-01 00:00:00

  • The factors influencing long-term outcomes of stenting for malignant colorectal obstruction in elderly group in community medicine.

    abstract：PURPOSE:Malignant bowel obstruction is a complication of colorectal carcinoma or metastasis from other carcinoma, and it causes significant damage on the condition of elderly patients; however, the self-expandable metallic stents (SEMSs) have been effectively used either for palliation or for bridging to the surgical p...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-017-2946-x

    authors： Imai M,Kamimura K,Takahashi Y,Sato T,Isokawa O,Maruyama M,Kobayashi T,Hayashi K,Terai S

    更新日期：2018-02-01 00:00:00

  • Involvement of AP-1 proteins in pancreatic stellate cell activation in vitro.

    abstract：BACKGROUND AND AIMS:Pancreatic stellate cells (PSCs) play a key role in the development of pancreatic fibrosis. The molecular mechanisms underlying their activation in response to profibrogenic mediators, however, are largely unknown. Extending previous studies on the transcriptional regulation of PSC activation, we ha...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-003-0565-1

    authors： Fitzner B,Sparmann G,Emmrich J,Liebe S,Jaster R

    更新日期：2004-09-01 00:00:00

  • High tie of the inferior mesenteric artery in distal colorectal resections--a safe vascular procedure.

    abstract：:Division of the inferior mesenteric artery flush with the aorta (high tie) allows a tension-free anastomosis in distal colorectal resections but may also diminish the blood supply. Tissue oxygen tension was measured proximal to the resection margin before and after either low or high division of the inferior mesenteri...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00337583

    authors： Hall NR,Finan PJ,Stephenson BM,Lowndes RH,Young HL

    更新日期：1995-01-01 00:00:00

  • A simplified, non-invasive fecal-based DNA integrity assay and iFOBT for colorectal cancer detection.

    abstract：PURPOSE:Neoplasia cells exfoliated from colorectal epithelium have dysfunctional apoptotic mechanisms, thus it is possible to identify high-molecular weight DNA fragments in feces. This prospective single-center study was performed to evaluate the sensitivity and specificity of fecal-based DNA integrity versus immunolo...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-010-1128-x

    authors： Kalimutho M,Del Vecchio Blanco G,Cretella M,Mannisi E,Sileri P,Formosa A,Pallone F,Federici G,Bernardini S

    更新日期：2011-05-01 00:00:00

  • Left-sided location is a risk factor for lymph node metastasis of T1 colorectal cancer: a single-center retrospective study.

    abstract：PURPOSE:Although some studies have reported differences in clinicopathological features between left- and right-sided advanced colorectal cancer (CRC), there are few reports regarding early-stage disease. In this study, we aimed to compare the clinicopathological features of left- and right-sided T1 CRC. METHODS:Subje...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03668-x

    authors： Mochizuki K,Kudo SE,Ichimasa K,Kouyama Y,Matsudaira S,Takashina Y,Maeda Y,Ishigaki T,Nakamura H,Toyoshima N,Mori Y,Misawa M,Ogata N,Kudo T,Hayashi T,Wakamura K,Sawada N,Ishida F,Miyachi H

    更新日期：2020-10-01 00:00:00

  • Analysis of faecal neutral sterols in patients with familial adenomatous polyposis by gas chromatography-mass spectrometry.

    abstract：:Previous studies have suggested that patients with familial adenomatous polyposis (FAP) have increased faecal excretion of cholesterol but a reduction in cholesterol metabolites. It was consequently proposed that the degree of faecal cholesterol degradation could be used as a means of diagnosis. Developments in the ex...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00290303

    authors： Barker GM,Radley S,Davis A,Setchell KD,O'Connell N,Donovan IA,Keighley MR,Neoptolemos JP

    更新日期：1993-12-01 00:00:00

  • Prognostic impact of intrahepatic lymphatic and microvascular involvement in cases of colorectal liver metastases.

    abstract：OBJECTIVE:The purpose of this study was to evaluate the effect of intrahepatic microvascular and lymphatic infiltration on survival in cases of colorectal liver metastases. MATERIALS AND METHODS:Prospectively collected data of 331 patients were analyzed for microvascular invasion (V), lymphatic infiltration (L), and r...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00384-009-0674-6

    authors： Bockhorn M,Sotiropoulos G,Neuhaus J,Sgourakis G,Sheu SY,Molmenti E,Fingas C,Trarbach T,Frilling A,Broelsch CE

    更新日期：2009-07-01 00:00:00

  • The effect of inositol hexaphosphate on the expression of selected metalloproteinases and their tissue inhibitors in IL-1β-stimulated colon cancer cells.

    abstract：INTRODUCTION:Matrix metalloproteinases (MMPs) have repeatedly been shown to play a very active role in extracellular matrix degradation associated with tumor invasion and metastasis. Tissue inhibitors of MMPs (TIMPs) are well-known for their ability to inhibit MMP activity thereby inhibiting malignant progression. Inos...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-012-1445-3

    authors： Kapral M,Wawszczyk J,Jurzak M,Hollek A,Węglarz L

    更新日期：2012-11-01 00:00:00

  • Confocal chromolaser endomicroscopy: a supplemental diagnostic tool prior to transanal endoscopic microsurgery of rectal tumors?

    abstract：PURPOSE:Due to diagnostic advancements, preoperative staging of rectal tumors was significantly improved. However, difficulties in obtaining accurate results can sometimes be observed in the staging of adenomas and early rectal carcinomas (pT1/2). The aim of this study was to test if confocal chromolaser endomicroscopy...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0813-0

    authors： Borschitz T,Kiesslich R

    更新日期：2010-01-01 00:00:00

  • Management of rectourethral fistulas in Crohn's disease.

    abstract：:We report the thirteenth case of a recto-urethral fistula in Crohn's disease. The patient, a 37-year-old white male, had a 20-year history of intestinal Crohn's disease and had undergone numerous bowel resections. His symptoms were fecaluria, urorrhea and passing of urine from an orifice just outside the base of the s...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/BF00346215

    authors： Santoro GA,Bucci L,Frizelle FA

    更新日期：1995-01-01 00:00:00

  • Fertility and outcome of pregnancy in patients operated on for Crohn's disease.

    abstract：:Fertility and outcome of pregnancy were assessed in all 78 women below 40 years of age in a total, unselected series of patients with Crohn's disease, diagnosed during a 17-year period and consecutively treated with resectional surgery, in most cases at an early stage. The median follow-up time after the primary opera...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF01648832

    authors： Lindhagen T,Bohe M,Ekelund G,Valentin L

    更新日期：1986-01-01 00:00:00

  • Erectile and urinary function in men with rectal cancer treated by neoadjuvant chemoradiotherapy and neoadjuvant chemotherapy alone: a randomized trial report.

    abstract：OBJECTIVE:The aim was to evaluate erectile and urinary function of male patients with rectal cancer treated by neoadjuvant (NA) chemoradiotherapy (CRT) or NA chemotherapy only. METHODS:In this prospective randomized trial (ClinicalTrials.gov NCT01211210; "FOWARC"), we included 102 men who received NA therapy for stage...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00384-016-2605-7

    authors： Huang M,Lin J,Yu X,Chen S,Kang L,Deng Y,Zheng J,Luo Y,Wang L,Lan P,Wang J

    更新日期：2016-07-01 00:00:00

  • Compartment syndrome after prolonged surgery with leg supports.

    abstract：:Compartment syndrome has been reported in a few cases after prolonged surgery with patients in leg supports. A recent case in our hospital (57-year-old man undergoing cystourethrectomy because of cancer) made us interested in the problem. This case together with six from the literature are analysed. Moreover, the firs...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/BF00496140

    authors： Bergqvist D,Bohe M,Ekelund G,Hellsten S,Jiborn H,Persson NH,Takolander R

    更新日期：1990-02-01 00:00:00

  • A new sphincter-preserving operation for low rectal cancer: ultralow anterior resection and colorectal/coloanal anastomosis by supporting bundling-up method.

    abstract：PURPOSE:The introductions of total mesorectal excision and double-stapling technique into colorectal surgery have promoted the clinical application of sphincter preservation. However, for the tumors localized on the middle or lower level of rectum, sphincter-preservation approaches might be problematic in some patients...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-010-0908-7

    authors： Han F,Li H,Zheng D,Gao H,Zhang Z

    更新日期：2010-07-01 00:00:00

  • Clinical significance of distal colon polyps for the prediction of an advanced proximal neoplasm: the KASID prospective multicenter study.

    abstract：BACKGROUND/AIMS:The possibility of proximal lesion without distal polyps is a weak point of sigmoidoscopic colon cancer screening, but the clinical significance of distal findings for advanced proximal neoplasm (APN) is uncertain. The aim of this study was to assess the significance of a distal finding as a predictor o...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00384-007-0387-7

    authors： Kang MS,Park DI,Jeen YT,Keum B,Choi JH,Jung SA,Kim HS,Kim YH,Kim WH,Kim TI,Kim HJ,Yang SK,Myung SJ,Byeon JS,Lee MS,Jung IK,Chung MK,Choi H,Han DS,Song JS

    更新日期：2008-02-01 00:00:00

  • The effect of a diverting stoma on morbidity and risk of permanent stoma following anastomotic leakage after low anterior resection for rectal cancer: a nationwide cohort study.

    abstract：BACKGROUND:Diverting stomata (DS) have been shown to mitigate the clinical impact of anastomotic leakage (AL) but not without complications, and their routine use remains a matter of international debate. The objective of this study was to examine the association between stomata and the clinical consequences of AL. ME...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03625-8

    authors： Schlesinger NH,Smith H

    更新日期：2020-10-01 00:00:00

  • Effect of laparoscopic and conventional colorectal resection on peritoneal fibrinolytic capacity: a prospective randomized clinical trial.

    abstract：BACKGROUND AND AIMS:Reduced fibrinolytic activity of the peritoneum seems to be the main cause of postoperative adhesions. This prospective randomized trial compared the peritoneal fibrinolytic activity between laparoscopic and conventional colorectal resection. METHODS:Parietal peritoneal biopsy specimens were taken ...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s00384-002-0391-x

    authors： Neudecker J,Junghans T,Ziemer S,Raue W,Schwenk W

    更新日期：2002-11-01 00:00:00

  • Brief report: length of ileal resection correlates with severity of bile acid malabsorption in Crohn's disease.

    abstract：PURPOSE:Bile acid malabsorption (BAM) is a common cause of diarrhoea in Crohn's disease (CD) patients with ileal resection. BAM is usually diagnosed by selenium-labelled homotaurocholic acid test (75SeHCAT) but its availability is limited. Consequently, a large proportion of patients either remain undiagnosed or subjec...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-018-3144-1

    authors： Skouras T,Dodd S,Prasad Y,Rassam J,Morley N,Subramanian S

    更新日期：2019-01-01 00:00:00

  • Neurostimulated levator augmentation--a new approach in restoring continence.

    abstract：PURPOSE:Restoration of continence remains a major challenge in patients after abdominoperineal rectal excision (APE) or with end-stage fecal incontinence. A new surgical technique, the neurostimulated levator augmentation, was introduced for pelvic floor augmentation using dynamic graciloplasty in order to restore anor...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-015-2134-9

    authors： Isbert C,Schlegel N,Reibetanz J,Krajinovic K,Schmidt K,Germer CT,Kim M

    更新日期：2015-04-01 00:00:00

  • Time-saving polyp detection in colon capsule endoscopy: evaluation of a novel software algorithm.

    abstract：BACKGROUND:Colon capsule endoscopy (CCE) is a reliable method to detect colonic polyps in the well-prepared colon. As CCE evaluation can be time consuming, a new software algorithm might aid in reducing evaluation time. OBJECTIVES:The aim of the study was to evaluate whether it is feasible to reliably detect colon pol...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-019-03393-0

    authors： Hausmann J,Linke JP,Albert JG,Masseli J,Tal A,Kubesch A,Filmann N,Philipper M,Farnbacher M

    更新日期：2019-11-01 00:00:00