{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:15:42Z","timestamp":1761822942177},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T00:00:00Z","timestamp":1151280000000},"content-version":"vor","delay-in-days":0,"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":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> The aim of this paper was to analyse the results of treatment of anal fistulas retrospectively.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Between 1992 and 2004, 407 patients were operated on for perianal fistula. In the follow\u2010up period, 107 patients were lost, so 300 patients were analysed in the study. The mean follow\u2010up time was 4.2\u2003years. Analysed parameters included: types of surgical procedures in different kinds of fistulas and postoperative complications. Various types of surgical procedures and their effectiveness were described. Late results were assessed taking into account healing time, duration of sick leave, recurrence rate and incidence of anal sphincter dysfunction. Severity of gas and stool incontinence was assessed according to the Cleveland Clinic Incontinence Score.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> In our study, subcutaneous fistula was diagnosed in 23.3%, inter\u2010sphincteric in 18%, trans\u2010sphincteric in 37.7%, supra\u2010sphincteric in 16% and extra\u2010sphincteric in 5% of patients. Single\u2010tract fistulas were present in 88.7% and multi\u2010tract fistulas were present in 11.3%. Overall, 242 patients had primary fistulas and 58 patients had recurrent fistulas. The most frequently performed procedures were cutting seton (139 patients) and radical fistulectomy (104 patients). Recurrent fistulas developed in 14.3%. Postoperative gas and\/or stool incontinence was noticed in 10.7%. The recurrence rate was 5.4% in patients with primary fistula and in 51.7% patients presenting with a recurrent fistula. Gas and stool incontinence developed in 3.7% of patients with primary fistulas and in 39.7% of patients presenting with recurrent fistulas. Recurrence rate was 12% in the patients of single\u2010tract fistulas and 32.4% in the patients of multi\u2010tract fistulas. Postoperative gas and\/or stool incontinence occurred in 8.3% of patients of single\u2010tract fistulas and in 29.4% of patients of multi\u2010tract fistulas.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> The complication rate was 10\u2010fold higher in patients presenting with a recurrent fistula than in those with primary fistulas and threefold higher in patients with multi\u2010tract fistulas than in those with single\u2010tract fistulas.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2006.01036.x","type":"journal-article","created":{"date-parts":[[2006,6,26]],"date-time":"2006-06-26T15:25:06Z","timestamp":1151335506000},"page":"151-158","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Late results of treatment of anal fistulas"],"prefix":"10.1111","volume":"9","author":[{"given":"A.","family":"Sygut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Zajdel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"K\u0119dzia\u2010Budziewska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Trzci\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Dziki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,8,16]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237422"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6352-4"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2003.00459.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2002.00277.x"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554179"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01582.x"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02235039"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800630102"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.4321\/S1130-01082005000500004"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2333031724"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2004.00571.x"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2002.00357.x"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554037"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234574"},{"key":"e_1_2_7_16_2","first-page":"47","volume-title":"Anal Fistula: Surgical Evaluation and Management","author":"Nicholls RJ.","year":"1996"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02070710"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237355"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(01)80028-7"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-7247-0"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-003-0076-8"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2004.00745.x"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6596-z"},{"key":"e_1_2_7_24_2","first-page":"92","volume-title":"Anal Fistula: Surgical Evaluation and Management.","author":"Lunniss PJ","year":"1996"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054434"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810947"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237229"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.3862\/jcoloproctology.48.8_717"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02235588"},{"key":"e_1_2_7_30_2","first-page":"1194","article-title":"Wsp\u00f3\u0142czesna diagnostyka i leczenie przetok oko\u0142oodbytniczych","volume":"76","author":"Sygut A","year":"2004","journal-title":"Pol Przegl Chir"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6181-5"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2001.00276.x"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2006.01036.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2006.01036.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T16:47:38Z","timestamp":1696956458000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2006.01036.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8,16]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["10.1111\/j.1463-1318.2006.01036.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2006.01036.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8,16]]},"assertion":[{"value":"2006-08-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}