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Culture of gut organisms was a sensitive method of detecting an underlying fistula but was not particularly specific (80 per cent). Demonstration of sepsis in the intersphincteric space in association with an anorectal abscess was 100 per cent sensitive and 100 per cent specific for detection of an underlying fistula. The demonstration was facilitated by a radially placed incision.<\/jats:p>","DOI":"10.1002\/bjs.1800810314","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T20:04:37Z","timestamp":1172952277000},"page":"368-369","source":"Crossref","is-referenced-by-count":35,"title":["Surgical assessment of acute anorectal sepsis is a better predictor of fistula than microbiological analysis"],"prefix":"10.1093","volume":"81","author":[{"given":"P J","family":"Lunniss","sequence":"first","affiliation":[{"name":"Professorial Surgical Unit, St Bartholomew's Hospital, Homerton and St Mark's Hospital , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R K S","family":"Phillips","sequence":"additional","affiliation":[{"name":"Professorial Surgical Unit, St Bartholomew's Hospital, Homerton and St Mark's Hospital , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1994,3,1]]},"reference":[{"key":"2024092814422237400_bib1","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/bjs.1800600711","article-title":"Anorectal suppuration: the results of treatment and the factors influencing the recurrence rate","volume":"60","author":"Buchan","year":"1973","journal-title":"Br J Surg"},{"key":"2024092814422237400_bib2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1002\/bjs.1800780418","article-title":"Comparison between anal endosonography and digital examination in the evaluation of anal fistulae","volume":"78","author":"Choen","year":"1991","journal-title":"Br J Surg"},{"key":"2024092814422237400_bib3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1002\/bjs.1800690715","article-title":"Anorectal sepsis: microbiology in relation to fistula-in-ano","volume":"69","author":"Grace","year":"1982","journal-title":"Br J Surg"},{"key":"2024092814422237400_bib4","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/BF02586698","article-title":"The final evaluation and classification of the surgical treatment of the primary anorectal, cryptoglandular intermuscular (intersphincteric) fistulous abscess and fistula","volume":"27","author":"Eisenhammer","year":"1978","journal-title":"Dis Colon Rectum"},{"key":"2024092814422237400_bib5","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1136\/bmj.1.5224.463","article-title":"Pathogenesis and treatment of fistula-in-ano","volume":"i","author":"Parks","year":"1961","journal-title":"BMJ"},{"key":"2024092814422237400_bib6","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1002\/bjs.1800541202","article-title":"A critique of anal glandular infection in the aetiology of idiopathic anorectal abscesses and fistulas","volume":"54","author":"Goligher","year":"1967","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800810314","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/3\/368\/59408966\/bjs1800810314.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/3\/368\/59408966\/bjs1800810314.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T14:42:29Z","timestamp":1727534549000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/81\/3\/368\/6165195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,3,1]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1994,3,1]]},"published-print":{"date-parts":[[1994,3,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800810314","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1994,3]]},"published":{"date-parts":[[1994,3,1]]}}}