{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:26:49Z","timestamp":1788312409200,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,3,3]],"date-time":"2016-03-03T00:00:00Z","timestamp":1456963200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study aimed to evaluate outcome at 1\u00a0year of one\u2010 and two\u2010stage fistulotomy for anal fistula in a large group of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective multicentre observational study was designed to include patients with anal fistula treated by one\u2010 or two\u2010stage fistulotomy. Data were collected using a self\u2010administered questionnaire before surgery, during healing and at 1\u00a0year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group A (133 patients) with a low anal fistula underwent a one\u2010stage fistulotomy. The median Wexner scores before and after surgery were 1.0 (0\u221211) and 2.0 (0\u221218) (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.032) and the median Vaizey scores were 2.0 (0\u221214) and 3.0 (0\u221221) (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.055). The Wexner scores and percentage of patients before and after fistulotomy were as follows: 0\u22125: 88%, 86%; 6\u221210: 10.7%, 10.7%; 11\u221215: 1.0%, 2.6%; and 16\u221220: 0%, 2%. Eighty\u2010seven per cent of the patients were satisfied. Group B (62 patients) underwent two\u2010stage fistulotomy for a high transsphincteric fistula. The Wexner scores and percentage of patients before the first stage and 1\u00a0year after the second stage were as follows: 0\u22125: 86%, 66%; 6\u221210: 4.5%, 20%; 11\u221215: 9%, 11%; and 16\u221220: 0%, 2%. The median Wexner scores before the first stage and after the second stage were 1 (0\u221214) <jats:italic>vs<\/jats:italic> 4 (0\u221219) (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), and the median Vaizey scores were 1.5 (0\u221211) <jats:italic>vs<\/jats:italic> 4 (0\u221220) (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001). Eighty\u2010eight per cent of the patients were satisfied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Low transsphincteric anal fistula can be treated by fistulotomy without clinically significant continence disturbance. Treating high transsphincteric anal fistulae with two\u2010stage fistulotomy is followed by mild continence disturbance. Satisfaction rates were high.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13121","type":"journal-article","created":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T07:59:01Z","timestamp":1442563141000},"page":"279-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["The outcome of fistulotomy for anal fistula at 1\u00a0year: a prospective multicentre French study"],"prefix":"10.1111","volume":"18","author":[{"given":"L.","family":"Abramowitz","sequence":"first","affiliation":[{"name":"Proctologie M\u00e9dico\u2010Chirurgicale H\u00f4pital Bichat\u2010Claude Bernard, AP\u2010HP Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Soudan","sequence":"additional","affiliation":[{"name":"Institut de Proctologie L\u00e9opold Bellan H\u00f4pital Saint Joseph Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Souffran","sequence":"additional","affiliation":[{"name":"Service de Proctologie Clinique Saint Augustin Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Bouchard","sequence":"additional","affiliation":[{"name":"Service de Proctologie H\u00f4pital Bagatelle Talence France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Castinel","sequence":"additional","affiliation":[{"name":"Clinique Th\u00e9odore Ducos Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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