{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:24:19Z","timestamp":1774355059814,"version":"3.50.1"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>ABSTRACT Background : The best treatment for anal fistula should extirpate infection and promote healing of the tract, whilst preserving the anal sphincter complex and full continence. Aim: To analyze the success rate after a modified technique for ligation of the intersphincteric fistula tract (LIFT) for patients with anal fistulas. Methods: A prospective (observational cohort study) Brazilian bi-institutional experience with a modified (ligation of the intersphincteric fistula tract without excision) LIFT technique was undertaken. A clinical database was settled for the following variables: age, gender, BMI, comorbidities, distance between external orifice and the anus, previous fistula surgery, type of fistula, operative time, intra- and postoperative complications, duration of follow-up, and success rate. Results: Between November 2015 and January 2017, 38 patients with transsphincteric fistulas were operated on using the modified LIFT procedure. Seventeen (44.7%) were men. Median age was 41 (18-67) years. Median BMI was 26.4 (22-38) kg\/m2. Five (13.2%) had undergone previous surgery. The fistula was transsphincteric in all cases. Median follow-up was 32 (range, 14-56) weeks. Success was observed in 30 (79%) patients. Conclusions: The LIFT technique without excision of the fistula tract proved to be safe and effective for transsphincteric anal fistulas.<\/jats:p>","DOI":"10.1590\/0102-6720201700040002","type":"journal-article","created":{"date-parts":[[2018,1,13]],"date-time":"2018-01-13T22:35:36Z","timestamp":1515882936000},"page":"235-238","source":"Crossref","is-referenced-by-count":8,"title":["INTERESFINCTERIAL LIGATION OF FISTULA TRACT (LIFT) FOR PATIENTS WITH ANAL FISTULAS: A BRAZILIAN BI-INSTITUTIONAL EXPERIENCE"],"prefix":"10.1590","volume":"30","author":[{"given":"S\u00e9rgio Eduardo Alonso","family":"ARA\u00daJO","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelli Tainah","family":"MARCANTE","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Ramon Siveira","family":"MENDES","sequence":"additional","affiliation":[{"name":"Santa Izabel Hospital, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre Bruno","family":"BERTONCINI","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Edmond","family":"SEID","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Araujo","family":"HORCEL","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Oliva","family":"PEREZ","sequence":"additional","affiliation":[{"name":"Instituto Angelita & Gama, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidney","family":"KLAJNER","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"7","key":"ref1","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1097\/DCR.0b013e318255ae8a","article-title":"Ligation of intersphincteric fistula tract: early results of a pilot study","volume":"55","author":"Abcarian AM","year":"2012","journal-title":"Dis Colon Rectum"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/DCR.0b013e318203495d","article-title":"Early result of ligation of the intersphincteric fistula tract for fistula-in-ano","volume":"54","author":"Aboulian A","year":"2011","journal-title":"Dis Colon Rectum"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s10151-013-1050-7","article-title":"Overview of anal fistula and systematic review of ligation of the intersphincteric fistula tract (LIFT)","volume":"18","author":"Alasari S","year":"2014","journal-title":"Tech Coloproctol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s10151-015-1365-7","article-title":"Evaluation and management of perianal abscess and anal fistula: a consensus statement developed by the Italian Society of Colorectal Surgery (SICCR)","volume":"19","author":"Amato A","journal-title":"Tech Coloproctol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/DCR.0b013e3181bb869f","article-title":"Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas","volume":"53","author":"Bleier JIS","year":"2010","journal-title":"Dis Colon Rectum"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1177\/000313481307900718","article-title":"Treatment of refractory perianal fistulas with ligation of the intersphincteric fistula tract: preliminary results","volume":"79","author":"Campbell ML","year":"2013","journal-title":"Am Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1007\/s10350-008-9374-5","article-title":"Treatment of complex anal fistulas with the collagen fistula plug","volume":"51","author":"Christoforidis D","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1007\/DCR.0b013e3181d43b7d","article-title":"Long-term outcomes with the use of bioprosthetic plugs for the management of complex anal fistulas","volume":"53","author":"Ellis CN","year":"2010","journal-title":"Dis Colon Rectum"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s10151-014-1183-3","article-title":"Ligation of intersphincteric fistula tract (LIFT) to treat anal fistula: systematic review and meta-analysis","volume":"18","author":"Hong KD","year":"2014","journal-title":"Tech Coloproctol"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1111\/codi.12104","article-title":"Efficacy of LIFT for recurrent anal fistula","volume":"15","author":"Lehmann J-P","year":"2013","journal-title":"Colorectal Dis"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3748\/wjg.v21.i1.12","article-title":"Modern management of anal fistula","volume":"21","author":"Limura E","year":"2015","journal-title":"World J Gastroenterol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/DCR.0b013e318278164c","article-title":"Long-term results of ligation of intersphincteric fistula tract (LIFT) for fistula-in-ano","volume":"56","author":"Liu WY","year":"2013","journal-title":"Dis Colon Rectum"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1097\/DCR.0000000000000194","article-title":"Ligation of intersphincteric fistula tract versus mucosal advancement flap in patients with high transsphincteric fistula-in-ano: a prospective randomized trial.","volume":"57","author":"Madbouly KM","year":"2014","journal-title":"Dis Colon Rectum"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s10151-011-0769-2","article-title":"Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas","volume":"15","author":"Meinero P","year":"2011","journal-title":"Tech Coloproctol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1590\/S0102-67202014000100018","article-title":"Video-assisted anal fistula treatment: technical considerations and preliminary results of the first Brazilian experience","volume":"27","author":"Mendes CRS","year":"2014","journal-title":"ABCD Braz Arch Dig Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.amjsurg.2011.10.025","article-title":"Ligation of intersphincteric fistula tract compared with advancement flap for complex anorectal fistulas requiring initial seton drainage","volume":"204","author":"Mushaya C","year":"2012","journal-title":"Am J Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1007\/s00384-005-0060-y","article-title":"Meta-analysis of randomized clinical trials comparing drainage alone vs primary sphincter-cutting procedures for anorectal abscess-fistula","volume":"21","author":"Quah HM","year":"2006","journal-title":"Int J Colorectal Dis"},{"key":"ref18","first-page":"581","article-title":"Total anal sphincter saving technique for fistula-in-ano; the ligation of intersphincteric fistula tract","volume":"90","author":"Rojanasakul A","year":"2007","journal-title":"J Med Assoc Thail"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1097\/DCR.0000000000000374","article-title":"The ligation of the intersphincteric fistula tract procedure for anal fistula: a mixed bag of results","volume":"58","author":"Sirany A-ME","year":"2016","journal-title":"Dis Colon Rectum"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4240\/wjgs.v5.i4.123","article-title":"Ligation of intersphincteric fistula tract and its modification: Results from treatment of complex fistula","volume":"5","author":"Sirikurnpiboon S","year":"2013","journal-title":"World J Gastrointest Surg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1097\/DCR.0b013e31823122b3","article-title":"Standards Practice Task Force of the American Society of Colon and Rectal Surgeons. Practice parameters for the management of perianal abscess and fistula-in-ano","volume":"54","author":"Steele SR","year":"2011","journal-title":"Dis Colon Rectum"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1097\/DCR.0b013e31822bb55e","article-title":"The anatomy of failures following the ligation of intersphincteric tract technique for anal fistula: a review of 93 patients over 4 years","volume":"54","author":"Tan K-K","year":"2011","journal-title":"Dis Colon Rectum"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1111\/codi.12224","article-title":"Ligation of the intersphincteric fistula tract in the management of anal fistula. A systematic review","volume":"15","author":"Yassin NA","year":"2013","journal-title":"Colorectal Dis"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1097\/DCR.0b013e318266edf3","article-title":"Does ligation of the intersphincteric fistula tract raise the bar in fistula surgery","volume":"55","author":"Wallin UG","year":"2012","journal-title":"Dis Colon Rectum"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1046\/j.1463-1318.2003.00459.x","article-title":"Anal fistulotomy between Skylla and Charybdis","volume":"5","author":"Westerterp M","year":"2003","journal-title":"Colorectal Dis"},{"key":"ref26","first-page":"A4977","article-title":"Management of anal fistula by ligation of the intersphincteric fistula tract - a systematic review","volume":"61","author":"Zirak-Schmidt S","year":"2014","journal-title":"Dan Med J"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v30n4\/0102-6720-abcd-30-04-00235.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,25]],"date-time":"2020-10-25T16:10:52Z","timestamp":1603642252000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202017000400235&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S0102-67202017000400235"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201700040002","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}