Abstract：
AIM:The study was designed to determine the role of clinical examination and imaging techniques in the diagnosis of anorectal fistula. MATERIAL AND METHODS:We performed an observational study with prospective recruiting using the data of 120 patients, by means of clinical evaluation by an experienced coloproctologist surgeon (EE), a surgeon without special training in coloproctology (CE), and examination under anaesthesia (SE), endoanal ultrasound (EAU) and magnetic resonance (MR), using the surgical findings as a reference. RESULTS:SE was significantly better than EE or CE for detecting an internal opening (IO), primary track and abscess cavities (AC). EAU was significantly more sensitive and accurate than the EE in identifying an IO, and AC, but not compared to the SE. MR was more sensitive than the EE in the identification of the IO, transphincter and suprasphincter tracks and AC with no significant differences compared to EAU, and more sensitive than the SE to detect AC. CONCLUSIONS:Examination under anaesthesia still has a place in the evaluation of anorectal fistula. Imaging methods are an occasional complement to a clinical evaluation that can help the less experienced to decide the appropriate treatment, particularly when a complex fistula is suspected.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Jordán J,Roig JV,García Armengol J,Esclapez P,Jordán Y,García Granero E,Alós R,Lledó Sdoi
10.1016/j.ciresp.2008.10.003subject
Has Abstractpub_date
2009-04-01 00:00:00pages
238-45issue
4eissn
0009-739Xissn
1578-147Xpii
S0009-739X(09)00050-5journal_volume
85pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：BACKGROUND AND OBJECTIVE:A new catheter-free outpatient oesophageal pH-meter system (Bravo) has recently been developed. The objective of this study is to test the tolerance, safety and efficacy of the system in the measurement of gastric-oesophageal reflux by comparing it with a conventional pH system. PATIENTS AND M...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)72620-4
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized. METHODS:A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity. RESULTS:All o...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.02.010
更新日期：2011-06-01 00:00:00
abstract：:There still appears to be insufficient interest in the management of postoperative nausea and vomiting. They are considered as inherent and inevitable discomforts after surgical operation. However, this disagreeable complication can be effectively managed. To do this, the risk must be suitably assessed and acted on ac...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.07.009
更新日期：2010-12-01 00:00:00
abstract：:The primary treatment of metastatic breast cancer is chemotherapy and radiotherapy, while surgery is reserved for treating local complications associated with the tumour. The survival in this group of patients has increased with the use of new chemotherapy and biological agents. A series of retrospective studies have ...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(08)70507-4
更新日期：2008-02-01 00:00:00
abstract：INTRODUCTION:The only curative treatment of pelvic recurrence of rectal cancer is radical resection. The aim of this paper is to analyze our experience in surgery for local recurrence of rectal cancer. METHODS:We performed a descriptive retrospective analysis of patients treated with curative intent for local recurren...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.08.003
更新日期：2016-11-01 00:00:00
abstract：INTRODUCTION:The recent reintroduction of local/regional anesthesia (LRA) for thyroidectomy has enabled this intervention to be performed in the outpatient setting. The aim of this study was to compare the results of thyroidectomy using two anesthesia methods. PATIENTS AND METHODS:One hundred twenty-five patients requ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70959-9
更新日期：2006-10-01 00:00:00
abstract：:Porcelain bladder is defined as calcification of the gallbladder wall. It is a rare condition and is seen in 0.06% to 0.8% of cholecystectomies. It origin is still unknown. We report two cases of patients with a porcelain gallbladder. One case is a 60 year-old male patient who was seen due to having biliary symptoms. ...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2010.09.012
更新日期：2011-04-01 00:00:00
abstract：INTRODUCTION:Infections caused by carbapenemase-producing Enterobacteriaceae (CPE) are dramatically increasing worldwide, with an important impact on surgical patients. Our aim was to assess the clinical profile, outcomes, treatment, mortality and costs of CPE-related surgical site infection (SSI) in patients with abdo...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2019.11.006
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Preoperative blood ordering is frequently in elective colon surgery, even for procedures that rarely require blood transfusion. Most often this procedure is performed without proper analysis of the real needs. The aim of this study was to evaluate the patients who receive transfusion and determining their as...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.05.011
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:Spontaneous haematoma of the rectus abdominis muscle is an uncommon cause of abdominal pain. It occurs mostly in anticoagulated patients. The objective of this paper is to analyse the onset, diagnosis and treatment in patients under anticoagulant therapy. METHODS:A retrospective analysis of a prospectivel...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.02.012
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:The aim of this study is to evaluate the usefulness of Vicryl Plus(®) suture in reducing the rate of postoperative wound infection in elective colorectal surgery. METHODS:A prospective case-control multicenter study with 480 patients undergoing elective colorectal surgery was performed between 2006 and 20...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ciresp.2013.07.017
更新日期：2014-08-01 00:00:00
abstract：INTRODUCTION:Surgery is one of the high-risk areas for the occurrence of adverse events (AE). The purpose of this study is to know the percentage of hospitalisation-related AE that are detected by the «Global Trigger Tool» methodology in surgical patients, their characteristics and the tool validity. MATERIAL AND METH...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2014.08.007
更新日期：2015-02-01 00:00:00
abstract：:Pheochromocytomas are uncommon neuroendocrine tumors. They are usually symptomatic and sporadic and are generally located in the adrenal medulla. We present two cases of extra-adrenal nonfunctional pheochromocytomas located in the retroperitoneum. The tumors were apparently benign and sporadic and were not associated ...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(05)70830-7
更新日期：2005-03-01 00:00:00
abstract：:Non-Meckelian jejunoileal diverticula are more frequently diagnosed in men aged more than 50 years old. They are a rare cause of acute abdomen. They are usually asymptomatic and are estimated to cause complications in 10-20% of cases. We present the recently diagnosed case of an 82-year-old man admitted to our hospita...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(05)70870-8
更新日期：2005-06-01 00:00:00
abstract：:The International Donor Collaborative Project (PCID) research group was created in 1996 in Spain with the aim of promoting research in the field of organ donation and transplantation, led by Spanish surgeons. During this period they have developed the questionnaires of the PCID, both the attitude towards cadaver and l...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.11.009
更新日期：2018-02-01 00:00:00
abstract：INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)70565-7
更新日期：2008-05-01 00:00:00
abstract：:Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery during their disease. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a good long-term quality of life. There...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2012.07.019
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010. PATIENTS AND METHODS:Prospective observational study of 1,601 consecutive patients ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.08.009
更新日期：2013-03-01 00:00:00
abstract：:When bariatric and metabolic surgery initially began in Spain, it was a subject of debate, due to not knowing exactly who were the first surgeons to perform it. A study has revealed the authors of the first interventions. ...
journal_title：Cirugia espanola
pub_type： 历史文章,杂志文章
doi：10.1016/j.ciresp.2012.11.003
更新日期：2013-08-01 00:00:00
abstract：INTRODUCTION:Natural orifice endoscopic surgery is a new surgical procedure still in the development phase. The most natural entry for surgeons is to use an already existing scar, such as the navel. The recent introduction of trocars designed for this purpose has made it possible to put this into practice. MATERIAL AN...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.08.003
更新日期：2010-11-01 00:00:00
abstract：INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity. MATERIAL AND METHOD:We describe the need to perform laparoscopic re...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71659-7
更新日期：2007-07-01 00:00:00
abstract：INTRODUCTION:During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by tel...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.06.019
更新日期：2020-07-08 00:00:00
abstract：:The closure of a temporary stoma involves 2 different surgical procedures: the stoma reversal procedure and the abdominal wall reconstruction of the stoma site. The management of the abdominal wall has different areas that should be analyzed such us how to avoid surgical site infection (SSI), the technique to be used ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2014.01.003
更新日期：2014-06-01 00:00:00
abstract：INTRODUCTION:The pancreatic fistula is the most feared complication after a duodenopancreatectomy, and is the most common independent factor of post-surgical mortality. Peng et al. recently published a pancreaticojejunal anastomosis technique (binding anastomosis) which showed 0% pancreatic fistulas. The objective of t...
journal_title：Cirugia espanola
pub_type： 临床试验,杂志文章
doi：10.1016/j.ciresp.2012.04.010
更新日期：2013-03-01 00:00:00
abstract：:Serrated polyps of the colorectum are a heterogeneous group of lesions with potential malignant transformation through the «serrated pathway» of carcinogenesis. The discovery of these lesions has been a paradigm shift in the concept of the adenoma-carcinoma sequence, so that up to 30% of tumors develop through this pa...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2012.12.001
更新日期：2013-03-01 00:00:00
abstract：INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.08.005
更新日期：2009-12-01 00:00:00
abstract：INTRODUCTION:Intrahepatic cholangiocarcinoma is a primary liver neoplasm whose only curative treatment is surgery. The objective of this study was to determine the prognostic factors for survival of intrahepatic cholangiocarcinoma treated surgically with curative intent. METHODS:Sixty-seven patients who had been treat...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.07.003
更新日期：2020-09-10 00:00:00
abstract：INTRODUCTION:Chronic idiopathic anal pain (CIAP) remains a diagnosis of exclusion. Its study and management still lack a standardized protocol. The aim of this study is to evaluate the results obtained with the diagnostic-therapeutic protocol established in our service. MATERIAL AND METHODS:We performed a retrospectiv...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.09.012
更新日期：2015-01-01 00:00:00
abstract：:Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be sel...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(07)71672-x
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:The current imbalance between donor supply and patients on the waiting list for liver transplantation (LT) is significant. To resolve this situation, marginal organs, such as those from type 2 donation after cardiac death (DCD2), are being considered. METHODS:In the present article, we present the first LT ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2018.06.016
更新日期：2018-10-01 00:00:00
