{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:48:43Z","timestamp":1769690923468,"version":"3.49.0"},"reference-count":0,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,11,7]],"date-time":"2015-11-07T00:00:00Z","timestamp":1446854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Clinical Research Fund of Beijing Municipal Science and Technology Commission","award":["Z121107001012135"],"award-info":[{"award-number":["Z121107001012135"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study was to evaluate the impact of three\u2010dimensional endoanal ultrasound (3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content>) on postoperative outcome in patients with anal fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This prospective study compared clinical and functional outcomes of patients with and without preoperative 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> examination 1\u00a0year after anal fistula surgery. Patients were prospectively followed and evaluated by a standardized protocol including physical examination, the Wexner Incontinence Score (<jats:styled-content style=\"fixed-case\">WIS<\/jats:styled-content>) and anorectal manometry, at baseline and 1\u00a0year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 196 patients were enrolled. There were no significant differences in demographic and operative parameters, except for operation time, between the two groups. At 1\u00a0year follow\u2010up, the overall recurrence rates were 8.8% (9\/102) in the 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> group and 13.8% (13\/94) in the examination under anaesthesia (<jats:styled-content style=\"fixed-case\">EUA<\/jats:styled-content>) group. In the subgroup of patients with complex fistulae, the recurrence rate was numerically lower in the 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> group (12.8% <jats:italic>vs<\/jats:italic> 22.5%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.26). The <jats:styled-content style=\"fixed-case\">WIS<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">EUA<\/jats:styled-content> group significantly worsened (0.35\u00a0\u00b1\u00a00.94 <jats:italic>vs<\/jats:italic> 1.07\u00a0\u00b1\u00a01.59; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.003) with a decreased the number of fully continent patients (82.5% <jats:italic>vs<\/jats:italic> 55%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.008) while neither the <jats:styled-content style=\"fixed-case\">WIS<\/jats:styled-content> nor the proportion of fully continent patients changed in the 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> group. Fewer patients in the 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> group developed incontinence postoperatively (6.7% <jats:italic>vs<\/jats:italic> 33.3%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.012) and they had better maximum resting pressure and maximum squeeze pressure than the <jats:styled-content style=\"fixed-case\">EUA<\/jats:styled-content> group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preoperative use of 3D\u2010<jats:styled-content style=\"fixed-case\">EAUS<\/jats:styled-content> had a favourable impact on the outcome of surgical treatment for anal fistulae, especially in those with complex anal fistula. It should be routinely used in the clinical setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13108","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T15:50:53Z","timestamp":1441209053000},"page":"1104-1112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Impact of three\u2010dimensional endoanal ultrasound on the outcome of anal fistula surgery: a prospective cohort study"],"prefix":"10.1111","volume":"17","author":[{"given":"J.\u2010H.","family":"Ding","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.\u2010X.","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Medicine Second Artillery General Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.\u2010Y.","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.\u2010H.","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.\u2010J.","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Colorectal Disease Center of PLA Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,7]]},"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T14:54:24Z","timestamp":1696344864000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,7]]},"references-count":0,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1111\/codi.13108"],"URL":"https:\/\/doi.org\/10.1111\/codi.13108","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,7]]},"assertion":[{"value":"2015-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-06-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-11-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}