Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure

Ursula Aho Fält; Antoni Zawadzki; Marianne Starck-Söndergaard; Måns Bohe; Sara Regnér; Louis Banka Johnson

doi:10.1080/00365521.2023.2212310

Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure

Ursula Aho Fält, Antoni Zawadzki, Marianne Starck-Söndergaard, Måns Bohe, Sara Regnér, Louis Banka Johnson

Surgery

Skåne University Hospital

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives
To explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.

Materials and methods
A retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.

Results
A total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p

Original language	English
Pages (from-to)	1200-1206
Journal	Scandinavian Journal of Gastroenterology
Volume	58
Issue number	10
Early online date	2023 May 19
DOIs	https://doi.org/10.1080/00365521.2023.2212310
Publication status	Published - 2023

Subject classification (UKÄ)

Surgery

Access to Document

10.1080/00365521.2023.2212310Licence: CC BY-NC-ND

1 Article
1 Doctoral Thesis (compilation)

Anal fistulae - Three-dimensional endoanal ultrasound and outcomes of collagen plug treatment
Fält, U., 2023, Lund: Lund University, Faculty of Medicine. 149 p.
Research output: Thesis › Doctoral Thesis (compilation)

Open Access
File
Long-term outcome of the Surgisis^® (Biodesign^®) anal fistula plug for complex cryptoglandular and Crohn’s fistulas
Aho Fält, U., Zawadzki, A., Starck, M., Bohe, M. & Johnson, L. B., 2021 Jan, In: Colorectal Disease. 23, 1, p. 178-185
Research output: Contribution to journal › Article › peer-review

Open Access

1 Finished
2 Active

Diagnostics of anal fistulae
Fält, U. (Researcher)
Maggie Stephens stiftelse
2016/09/01 → 2028/12/31
Project: Research
Treatment of complex anal fistulas
Fält, U. (Researcher), Johnson, L. B. (Researcher) & Lusilla Lopez, A. (Research student)
2016/09/01 → 2028/12/31
Project: Research
Anal fistulae - Three-dimensional endoanal ultrasound and outcomes of collagen plug treatment
Fält, U. (Research student), Regnér, S. (Supervisor), Johnson, L. B. (Assistant supervisor) & Starck-Söndergaard, M. (Assistant supervisor)
Helge B Wulffs Stiftelse
2019/10/01 → 2023/12/01
Project: Dissertation

Cite this

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title = "Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure",

abstract = "ObjectivesTo explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.Materials and methodsA retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.ResultsA total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p ",

author = "{Aho F{\"a}lt}, Ursula and Antoni Zawadzki and Marianne Starck-S{\"o}ndergaard and M{\aa}ns Bohe and Sara Regn{\'e}r and Johnson, {Louis Banka}",

year = "2023",

doi = "10.1080/00365521.2023.2212310",

language = "English",

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pages = "1200--1206",

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T1 - Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure

AU - Aho Fält, Ursula

AU - Zawadzki, Antoni

AU - Starck-Söndergaard, Marianne

AU - Bohe, Måns

AU - Regnér, Sara

AU - Johnson, Louis Banka

PY - 2023

Y1 - 2023

N2 - ObjectivesTo explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.Materials and methodsA retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.ResultsA total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p

AB - ObjectivesTo explore the utilization of three-dimensional (3D) endoanal ultrasound (EAUS) for the follow-up of the anal fistula plug (AFP), describe morphological findings in postoperative 3D EAUS, and evaluate if postoperative 3D EAUS combined with clinical symptoms can predict AFP failure.Materials and methodsA retrospective analysis of 3D EAUS examinations performed during a single-centre study of prospectively included consecutive patients treated with the AFP between May 2006 and October 2009. Postoperative assessment by clinical examination and 3D EAUS was performed at 2 weeks, 3 months and 6–12 months (“late control”). Long-term follow-up was carried out in 2017. The 3D EAUS examinations were blinded and analysed by two observers using a protocol with defined relevant findings for different follow-up time points.ResultsA total of 95 patients with a total of 151 AFP procedures were included. Long-term follow-up was completed in 90 (95%) patients. Inflammation at 3 months, gas in fistula and visible fistula at 3 months and at late control, were statistically significant 3D EAUS findings for AFP failure. The combination of gas in fistula and clinical finding of fluid discharge through the external fistula opening 3 months postoperatively was statistically significant (p

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JO - Scandinavian Journal of Gastroenterology

JF - Scandinavian Journal of Gastroenterology

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ER -

Postoperative three-dimensional endoanal ultrasound findings and relation to anal fistula plug failure

Abstract

Subject classification (UKÄ)

Access to Document

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Research output

Anal fistulae - Three-dimensional endoanal ultrasound and outcomes of collagen plug treatment

Long-term outcome of the Surgisis® (Biodesign®) anal fistula plug for complex cryptoglandular and Crohn’s fistulas

Projects

Diagnostics of anal fistulae

Treatment of complex anal fistulas

Anal fistulae - Three-dimensional endoanal ultrasound and outcomes of collagen plug treatment

Cite this

Long-term outcome of the Surgisis^® (Biodesign^®) anal fistula plug for complex cryptoglandular and Crohn’s fistulas