Preliminary results of a novel sphincter-sparing technique-fistula occlusion with the internal sphincter flap (FOISF)-for high complex anal fistulas.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Gastroenterology Report Pub Date : 2025-01-18 eCollection Date: 2025-01-01 DOI:10.1093/gastro/goaf006

Dandan Huang, Ning Wang, Yiping Li, Donglin Ren, Yong Yang, Kaikai Wei, Yanzhu Li, Zhimin Liu

{"title":"Preliminary results of a novel sphincter-sparing technique-fistula occlusion with the internal sphincter flap (FOISF)-for high complex anal fistulas.","authors":"Dandan Huang, Ning Wang, Yiping Li, Donglin Ren, Yong Yang, Kaikai Wei, Yanzhu Li, Zhimin Liu","doi":"10.1093/gastro/goaf006","DOIUrl":null,"url":null,"abstract":"Background and aim: High complex anal fistula is a clinical challenge for proctologists and a nightmare for patients. Although the sphincter-sparing approach seems an ideal surgical intervention, there remains room for improvement in treatment efficacy. Herein, we introduce an enhanced sphincter-sparing approach, namely the fistula occlusion with the internal sphincter flap (FOISF), for treating high complex anal fistulas.Methods: This study evaluated 15 patients with high complex anal fistulas who underwent FOISF between October 2021 and December 2022 in the Sixth Affiliated Hospital, Sun Yat-sen University (Guangzhou, P. R. China). Data on success rates, anal function, and various surgical characteristics were subjected to rigorous analysis.Results: All patients underwent the FOISF procedure, with a median operation time of 53 min. Fourteen patients achieved primary intention healing, while one patient healed by second intention. No recurrence was observed over a follow-up period of 14-30 months. All patients exhibited satisfactory anal continence, with no statistically significant difference observed between preoperative and postoperative Wexner scores (P = 0.331). A significant improvement in the quality of life was observed when compared with the preoperative assessment (P < 0.001).Conclusion: The preliminary results of the FOISF procedure present an effective approach to treat high complex anal fistula.","PeriodicalId":54275,"journal":{"name":"Gastroenterology Report","volume":"13 ","pages":"goaf006"},"PeriodicalIF":3.8000,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748383/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gastroenterology Report","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/gastro/goaf006","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background and aim: High complex anal fistula is a clinical challenge for proctologists and a nightmare for patients. Although the sphincter-sparing approach seems an ideal surgical intervention, there remains room for improvement in treatment efficacy. Herein, we introduce an enhanced sphincter-sparing approach, namely the fistula occlusion with the internal sphincter flap (FOISF), for treating high complex anal fistulas.

Methods: This study evaluated 15 patients with high complex anal fistulas who underwent FOISF between October 2021 and December 2022 in the Sixth Affiliated Hospital, Sun Yat-sen University (Guangzhou, P. R. China). Data on success rates, anal function, and various surgical characteristics were subjected to rigorous analysis.

Results: All patients underwent the FOISF procedure, with a median operation time of 53 min. Fourteen patients achieved primary intention healing, while one patient healed by second intention. No recurrence was observed over a follow-up period of 14-30 months. All patients exhibited satisfactory anal continence, with no statistically significant difference observed between preoperative and postoperative Wexner scores (P = 0.331). A significant improvement in the quality of life was observed when compared with the preoperative assessment (P < 0.001).

Conclusion: The preliminary results of the FOISF procedure present an effective approach to treat high complex anal fistula.

查看原文本刊更多论文

一种新颖的保留括约肌技术-内括约肌瓣（FOISF）瘘封堵-治疗高度复杂肛瘘的初步结果。

背景与目的：高复杂性肛瘘是肛肠科医师面临的临床挑战，也是患者的噩梦。尽管保留括约肌入路似乎是一种理想的手术干预，但在治疗效果上仍有改进的余地。在此，我们介绍了一种增强的保留括约肌入路，即内括约肌皮瓣（FOISF）瘘闭塞治疗高度复杂的肛瘘。方法：本研究评估了中山大学附属第六医院（中国广州）于2021年10月至2022年12月期间接受FOISF治疗的15例高度复杂肛瘘患者。对成功率、肛门功能和各种手术特征的数据进行了严格的分析。结果：所有患者均行FOISF手术，中位手术时间为53分钟。14例患者实现了第一次意向愈合，1例患者实现了第二次意向愈合。随访14 ~ 30个月无复发。所有患者均表现出满意的肛门控制，术前与术后Wexner评分差异无统计学意义（P = 0.331）。与术前评估相比，观察到生活质量有显著改善（P < 0.001）。结论：FOISF手术是治疗高度复杂肛瘘的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Gastroenterology Report Medicine-Gastroenterology

CiteScore

4.60

自引率

2.80%

发文量

审稿时长

8 weeks

期刊介绍： Gastroenterology Report is an international fully open access (OA) online only journal, covering all areas related to gastrointestinal sciences, including studies of the alimentary tract, liver, biliary, pancreas, enteral nutrition and related fields. The journal aims to publish high quality research articles on both basic and clinical gastroenterology, authoritative reviews that bring together new advances in the field, as well as commentaries and highlight pieces that provide expert analysis of topical issues.