Ultrasonography Accuracy for Perianal Fistula Anatomy

Background Endorectal ultrasonography is a diagnostic modality for evaluation of perianal pathologies and suitable surgical planning, especially in perianal fistula, due to its close relation to the anal sphincter complex. Detection of anatomical location of fistula tract and abscess is critical to...

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Autores principales: Leila Ghahramani, Seyed Vahid Hosseini, Ahmad Izadpanah, Alimohammad Bananzadeh, Mohammad Rezazadeh Kermani, Alireza Safarpour
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Publicado: Shiraz University of Medical Sciences 2014
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Acceso en línea:https://doaj.org/article/8fcc32c5bfc04aafb05e967286b20dde
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spelling oai:doaj.org-article:8fcc32c5bfc04aafb05e967286b20dde2021-11-14T07:57:19ZUltrasonography Accuracy for Perianal Fistula Anatomy2783-243010.17795/acr-20062https://doaj.org/article/8fcc32c5bfc04aafb05e967286b20dde2014-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45465_7fce74c3983dd1abee65aab78a866f3d.pdfhttps://doaj.org/toc/2783-2430Background Endorectal ultrasonography is a diagnostic modality for evaluation of perianal pathologies and suitable surgical planning, especially in perianal fistula, due to its close relation to the anal sphincter complex. Detection of anatomical location of fistula tract and abscess is critical to select the best procedure. Objectives This study tries to demonstrate the accuracy of endorectal ultrasonography in mixed group of patients in diagnosing perianal fistula during two years, retrospectively. Patients and Methods After Ethics Committee approval, all endorectal ultrasonography reports of all patients with perianal fistula referred to Shiraz Endorectal Ultrasonography Clinic of Shiraz colorectal research center between 2010 and 2012 were gathered. All endorectal ultrasonographies in this center was perform by a colorectal surgeon with BK Medical Class I type B Ultrasonography scanner with 12 MHz probe. Results Finally, 183 cases of perianal fistula were enrolled in the study. Operation notes were evaluated and the type of fistula was compared with ultrasound findings. This study showed that endorectal ultrasonography has adequate accuracy with 97.92% sensitivity and acceptable 89.53% specificity in diagnosis of perianal fistula. Compared with other reports, it seems that endorectal ultrasonography is an acceptable diagnostic tool for detecting perianal fistula compared with other diagnostic modalities. Conclusions Endoanal sonography would be one of the high sensitive modalities for evaluation of perianal fistula. Detection of anatomy of fistula helps surgeon to choose best method for surgery.Leila GhahramaniSeyed Vahid HosseiniAhmad IzadpanahAlimohammad BananzadehMohammad Rezazadeh KermaniAlireza SafarpourShiraz University of Medical SciencesarticleultrasonographyfistulasensitivityspecificityMedicineRENIranian Journal of Colorectal Research, Vol 2, Iss 2, Pp 0-0 (2014)
institution DOAJ
collection DOAJ
language EN
topic ultrasonography
fistula
sensitivity
specificity
Medicine
R
spellingShingle ultrasonography
fistula
sensitivity
specificity
Medicine
R
Leila Ghahramani
Seyed Vahid Hosseini
Ahmad Izadpanah
Alimohammad Bananzadeh
Mohammad Rezazadeh Kermani
Alireza Safarpour
Ultrasonography Accuracy for Perianal Fistula Anatomy
description Background Endorectal ultrasonography is a diagnostic modality for evaluation of perianal pathologies and suitable surgical planning, especially in perianal fistula, due to its close relation to the anal sphincter complex. Detection of anatomical location of fistula tract and abscess is critical to select the best procedure. Objectives This study tries to demonstrate the accuracy of endorectal ultrasonography in mixed group of patients in diagnosing perianal fistula during two years, retrospectively. Patients and Methods After Ethics Committee approval, all endorectal ultrasonography reports of all patients with perianal fistula referred to Shiraz Endorectal Ultrasonography Clinic of Shiraz colorectal research center between 2010 and 2012 were gathered. All endorectal ultrasonographies in this center was perform by a colorectal surgeon with BK Medical Class I type B Ultrasonography scanner with 12 MHz probe. Results Finally, 183 cases of perianal fistula were enrolled in the study. Operation notes were evaluated and the type of fistula was compared with ultrasound findings. This study showed that endorectal ultrasonography has adequate accuracy with 97.92% sensitivity and acceptable 89.53% specificity in diagnosis of perianal fistula. Compared with other reports, it seems that endorectal ultrasonography is an acceptable diagnostic tool for detecting perianal fistula compared with other diagnostic modalities. Conclusions Endoanal sonography would be one of the high sensitive modalities for evaluation of perianal fistula. Detection of anatomy of fistula helps surgeon to choose best method for surgery.
format article
author Leila Ghahramani
Seyed Vahid Hosseini
Ahmad Izadpanah
Alimohammad Bananzadeh
Mohammad Rezazadeh Kermani
Alireza Safarpour
author_facet Leila Ghahramani
Seyed Vahid Hosseini
Ahmad Izadpanah
Alimohammad Bananzadeh
Mohammad Rezazadeh Kermani
Alireza Safarpour
author_sort Leila Ghahramani
title Ultrasonography Accuracy for Perianal Fistula Anatomy
title_short Ultrasonography Accuracy for Perianal Fistula Anatomy
title_full Ultrasonography Accuracy for Perianal Fistula Anatomy
title_fullStr Ultrasonography Accuracy for Perianal Fistula Anatomy
title_full_unstemmed Ultrasonography Accuracy for Perianal Fistula Anatomy
title_sort ultrasonography accuracy for perianal fistula anatomy
publisher Shiraz University of Medical Sciences
publishDate 2014
url https://doaj.org/article/8fcc32c5bfc04aafb05e967286b20dde
work_keys_str_mv AT leilaghahramani ultrasonographyaccuracyforperianalfistulaanatomy
AT seyedvahidhosseini ultrasonographyaccuracyforperianalfistulaanatomy
AT ahmadizadpanah ultrasonographyaccuracyforperianalfistulaanatomy
AT alimohammadbananzadeh ultrasonographyaccuracyforperianalfistulaanatomy
AT mohammadrezazadehkermani ultrasonographyaccuracyforperianalfistulaanatomy
AT alirezasafarpour ultrasonographyaccuracyforperianalfistulaanatomy
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