PROGNOSIS OF UNTREATED ANAL FISTULAS
Purpose: We conducted a follow-up of anal fistula patients who had not undergone radical surgery to determine whether their condition had worsened over time. Method: Subjects were 129 patients who had not undergone radical surgery selected from 320 anal fistula patients who had visited Ohmi Clinic 1...
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Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 65; no. 7; pp. 1750 - 1754 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Japan Surgical Association
2004
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Subjects | |
Online Access | Get full text |
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Summary: | Purpose: We conducted a follow-up of anal fistula patients who had not undergone radical surgery to determine whether their condition had worsened over time. Method: Subjects were 129 patients who had not undergone radical surgery selected from 320 anal fistula patients who had visited Ohmi Clinic 10 years or more previously. Except for 6 who continued to visit after their first visit, 123 were asked to answer questionnaires by mail or telephone, and to come in again for an anal examination. Results: Questionnaires were answered by 35 subjects, of whom 9 had been operated on at other medical institutions. Of the remaining 26, 23 were almost symptom-free. All of the 13 who underwent anal examination turned out to be originally low fistula cases: one had advanced to a high intermuscular fistula, seven were stable, and five showed scars in the fistula tract. Conclusion: Some anal fistulas had not advanced in the previous 10 years, with scars developing in some cases. |
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ISSN: | 1345-2843 1882-5133 |
DOI: | 10.3919/jjsa.65.1750 |