{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:22:24Z","timestamp":1778073744388,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Perianal fistula (PAF) is a common condition encountered in surgical and gastroenterological practice. Distinguishing between cryptoglandular disease (CGD) and inflammatory bowel disease (IBD)\u2010related perianal disease is critical to ensure appropriate management. Faecal calprotectin (FC) has emerged as a promising non\u2010invasive biomarker for IBD; however, its role in acute perianal disease is not well established. This systematic review aimed to evaluate the diagnostic accuracy of FC in distinguishing IBD\u2010related perianal disease from CGD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A systematic literature search was conducted in PubMed, Embase and Cochrane databases following PRISMA guidelines. Studies were included if they assessed FC levels in patients with PAF and provided diagnostic accuracy metrics. Data extraction focused on study design, population characteristics, FC cut\u2010off values, sensitivity, specificity and area under the curve (AUC) metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three studies met the inclusion criteria, all reporting significantly higher FC levels in IBD\u2010related PAF compared to CGD\u2010related fistulas. The proposed FC cut\u2010off values varied, ranging from 110\u2009\u03bcg\/g to 344\u2009\u03bcg\/g, with corresponding sensitivities between 52% and 81%, as well as specificities between 77% and 93%. The AUC values indicated moderate to high diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>FC shows potential as a diagnostic tool for differentiating IBD\u2010related perianal disease from CGD. A cut\u2010off of 110\u2013150\u2009\u03bcg\/g appears most suitable for early screening, whereas a higher threshold may be appropriate for confirmatory diagnosis. Further prospective studies with standardized protocols are necessary to refine these thresholds and validate FC as a clinical decision\u2010making tool.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70331","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T04:01:50Z","timestamp":1764907310000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The diagnostic value of faecal calprotectin levels in patients with perianal fistula: A systematic review"],"prefix":"10.1111","volume":"27","author":[{"given":"Stavros","family":"Chatziisaak","sequence":"first","affiliation":[{"name":"Department of Visceral Surgery Hospital of Canton Graub\u00fcnden  Chur Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Burri","sequence":"additional","affiliation":[{"name":"Department of Surgery Spitalverbund Appenzell Ausserrhoden  Herisau 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