Anal fistula natural history, complications and prognosis: Difference between revisions
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{{Anal fistula}} | {{Anal fistula}} | ||
{{CMG}} {{AE}} {{MKK}} | {{CMG}}, {{AE}} {{MKK}} | ||
==Overview== | ==Overview== | ||
[[Anal fistula]] usually develops in 20-30 years of age and peaks around 40 years. If left untreated, patients with anal fistula may progress to develop the [[perianal abscess]] and [[cancer]]. Common complications of anal fistula include: [[urinary retention]], [[bleeding]], [[perianal abscess]], [[fecal]] [[incontinence]], [[carcinoma]]. Prognosis is excellent after [[surgery]] and recurrence rate is 7-21%. | |||
===Natural History=== | ===Natural History=== | ||
*The symptoms of anal | *The symptoms of anal fistula usually develop in the second and third decade of life and peaks around 40 years. | ||
*If left untreated, patients with anal fistula may progress to develop the perianal abscess and cancer. | *If left untreated, patients with anal fistula may progress to develop the [[perianal abscess]] and [[cancer]]. | ||
'''Common complications of anal fistula include:''' | |||
*[[Urinary retention]] | |||
**[ | *[[Bleeding]] | ||
**[ | *[[Perianal abscess]] | ||
* | *[[Fecal]] [[incontinence]] | ||
*[[Carcinoma]] | |||
===Prognosis=== | ===Prognosis=== | ||
*Prognosis is | *Prognosis is excellent after the [[surgery]]. | ||
* | *Recurrence rate is 7-21% depending upon the [[anatomy]] and complexity of [[fistula]].<ref name="pmid18626715">{{cite journal |vauthors=van Koperen PJ, Wind J, Bemelman WA, Bakx R, Reitsma JB, Slors JF |title=Long-term functional outcome and risk factors for recurrence after surgical treatment for low and high perianal fistulas of cryptoglandular origin |journal=Dis. Colon Rectum |volume=51 |issue=10 |pages=1475–81 |year=2008 |pmid=18626715 |doi=10.1007/s10350-008-9354-9 |url=}}</ref><ref name="pmid21930996">{{cite journal |vauthors=Abbas MA, Jackson CH, Haigh PI |title=Predictors of outcome for anal fistula surgery |journal=Arch Surg |volume=146 |issue=9 |pages=1011–6 |year=2011 |pmid=21930996 |doi=10.1001/archsurg.2011.197 |url=}}</ref> | ||
==References== | ==References== | ||
Latest revision as of 20:25, 13 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Anal fistula usually develops in 20-30 years of age and peaks around 40 years. If left untreated, patients with anal fistula may progress to develop the perianal abscess and cancer. Common complications of anal fistula include: urinary retention, bleeding, perianal abscess, fecal incontinence, carcinoma. Prognosis is excellent after surgery and recurrence rate is 7-21%.
Natural History
- The symptoms of anal fistula usually develop in the second and third decade of life and peaks around 40 years.
- If left untreated, patients with anal fistula may progress to develop the perianal abscess and cancer.
Common complications of anal fistula include:
Prognosis
- Prognosis is excellent after the surgery.
- Recurrence rate is 7-21% depending upon the anatomy and complexity of fistula.[1][2]
References
- ↑ van Koperen PJ, Wind J, Bemelman WA, Bakx R, Reitsma JB, Slors JF (2008). "Long-term functional outcome and risk factors for recurrence after surgical treatment for low and high perianal fistulas of cryptoglandular origin". Dis. Colon Rectum. 51 (10): 1475–81. doi:10.1007/s10350-008-9354-9. PMID 18626715.
- ↑ Abbas MA, Jackson CH, Haigh PI (2011). "Predictors of outcome for anal fistula surgery". Arch Surg. 146 (9): 1011–6. doi:10.1001/archsurg.2011.197. PMID 21930996.