Anal fistula ultrasound: Difference between revisions
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*Accuracy of endoanal [[ultrasound]] is improved by [[injection]] of [[hydrogen peroxide]] into [[fistula]] tracks. | *Accuracy of endoanal [[ultrasound]] is improved by [[injection]] of [[hydrogen peroxide]] into [[fistula]] tracks. | ||
*[[Ultrasound]] has a limited use because probe can go 2 cm from the [[anus]] so it is poor at evaluating [[pathology]] beyond the [[Sphincter|sphincters]] (both laterally and above).<ref name="urlManagement of anal fistula | The BMJ">{{cite web |url=http://www.bmj.com/content/345/bmj.e6705 |title=Management of anal fistula | The BMJ |format= |work= |accessdate=}}</ref><ref name="pmid16567481">{{cite journal |vauthors=Halligan S, Stoker J |title=Imaging of fistula in ano |journal=Radiology |volume=239 |issue=1 |pages=18–33 |year=2006 |pmid=16567481 |doi=10.1148/radiol.2391041043 |url=}}</ref><ref name="pmid22513437">{{cite journal |vauthors=Siddiqui MR, Ashrafian H, Tozer P, Daulatzai N, Burling D, Hart A, Athanasiou T, Phillips RK |title=A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment |journal=Dis. Colon Rectum |volume=55 |issue=5 |pages=576–85 |year=2012 |pmid=22513437 |doi=10.1097/DCR.0b013e318249d26c |url=}}</ref> | *[[Ultrasound]] has a limited use because probe can go 2 cm from the [[anus]] so it is poor at evaluating [[pathology]] beyond the [[Sphincter|sphincters]] (both laterally and above).<ref name="urlManagement of anal fistula | The BMJ">{{cite web |url=http://www.bmj.com/content/345/bmj.e6705 |title=Management of anal fistula | The BMJ |format= |work= |accessdate=}}</ref><ref name="pmid16567481">{{cite journal |vauthors=Halligan S, Stoker J |title=Imaging of fistula in ano |journal=Radiology |volume=239 |issue=1 |pages=18–33 |year=2006 |pmid=16567481 |doi=10.1148/radiol.2391041043 |url=}}</ref><ref name="pmid22513437">{{cite journal |vauthors=Siddiqui MR, Ashrafian H, Tozer P, Daulatzai N, Burling D, Hart A, Athanasiou T, Phillips RK |title=A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment |journal=Dis. Colon Rectum |volume=55 |issue=5 |pages=576–85 |year=2012 |pmid=22513437 |doi=10.1097/DCR.0b013e318249d26c |url=}}</ref> | ||
[[File:Perianal-fistula-3.jpgjpg|200px|thumb|centre|Perianal fistula| source: Dr Maulik S Patel,<ref> href="https://radiopaedia.org/cases/26444">rID: 26444</ref>]] | |||
==References== | ==References== | ||
Revision as of 17:15, 2 February 2018
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Anal fistula Microchapters |
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Diagnosis |
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Treatment |
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Anal fistula ultrasound On the Web |
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American Roentgen Ray Society Images of Anal fistula ultrasound |
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Risk calculators and risk factors for Anal fistula ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Endoanal ultrasound used to know details of fistula anatomy, tracks, and the spinchters.This is used intraoperatively by surgeons to have better information of fistula. Accuracy of endoanal ultrasound is improved by injection of hydrogen peroxide into fistula tracks. Ultrasound has a limited use because probe can go 2 cm from the anus so it is poor at evaluating pathology beyond the sphincters.
Ultrasound
Endoanal ultrasound is cheaper but radiologist dependent modality.
- It is used to know details of fistula anatomy, tracks, and the sphincters.
- Endoanal ultrasound is also used intraoperatively to give surgeons more information at the time of examination with anesthesia.
- Accuracy of endoanal ultrasound is improved by injection of hydrogen peroxide into fistula tracks.
- Ultrasound has a limited use because probe can go 2 cm from the anus so it is poor at evaluating pathology beyond the sphincters (both laterally and above).[1][2][3]
References
- ↑ "Management of anal fistula | The BMJ".
- ↑ Halligan S, Stoker J (2006). "Imaging of fistula in ano". Radiology. 239 (1): 18–33. doi:10.1148/radiol.2391041043. PMID 16567481.
- ↑ Siddiqui MR, Ashrafian H, Tozer P, Daulatzai N, Burling D, Hart A, Athanasiou T, Phillips RK (2012). "A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment". Dis. Colon Rectum. 55 (5): 576–85. doi:10.1097/DCR.0b013e318249d26c. PMID 22513437.
- ↑ href="https://radiopaedia.org/cases/26444">rID: 26444