Role of tridimensional endoanal ultrasound (3D-EAUS) in the preoperative assessment of perianal sepsis

International Journal of Colorectal Disease
Antonio BrillantinoAdolfo Renzi

Abstract

The aim of this study was to evaluate the accuracy of tridimensional endoanal ultrasound (3D-EAUS) in the diagnosis of perianal sepsis comparing the results with the surgical findings, considered as reference standard. From January 2009 to January 2013, all the patients referred for the assessment and treatment of perianal sepsis with suspected anorectal origin were enrolled in the study. All patients gave informed written consent. Prior to surgery, all the patients underwent anamnestic evaluation, clinical examination, and unenhanced and H2O2-enhanced 3D-EAUS. Surgery was performed by a colorectal surgeon blinded to the 3D-EAUS results. A total of 212 patients with suspected perianal suppurations were assessed during the study period. In 12 patients, the H2O2-enhanced 3D-EAUS was not performed, and so, they were excluded from the study. Very good agreement between 3D-EAUS and examination under anesthesia (EUA) in the classification of primary fistula tracts (kappa = 0.93) and in the identification of fistula internal opening (kappa = 0.97) was found. There was a good concordance (kappa = 0.71) between 3D-EAUS and surgery in the detection of fistula secondary extensions. The overall sensitivity and specificity of 3D-EAUS in the...Continue Reading

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Citations

Dec 13, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M KołodziejczakI Sudoł-Szopińska
May 17, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M KołodziejczakI Sudoł-Szopińska
Jul 28, 2016·World Journal of Gastrointestinal Surgery·Marina Garcés-AlbirJoaquin Ortega
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Dec 18, 2019·Japanese Journal of Radiology·Francesca IacobellisRoberto Grassi
Jul 29, 2016·World Journal of Gastroenterology : WJG·Varut Lohsiriwat
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May 30, 2019·BMJ Open Gastroenterology·Kasaya TantiphlachivaArun Rojanasakul
Sep 2, 2021·Langenbeck's Archives of Surgery·Stephanie García-BotelloJoaquín Ortega-Serrano

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