The use of intra-operative endo-anal ultrasound in perianal disease

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
H S TilneyA M Gudgeon

Abstract

Endoanal ultrasound (EAUS) has demonstrated high sensitivity and specificity for the structural imaging of anorectal pathology. This study prospectively assessed the impact of intra-operative EAUS on the surgical management of perianal disease. EAUS was performed prior to and after examination under anaesthesia (EUA) in a consecutive series of patients with perianal disease. The impact of EAUS on the surgery performed was identified. Forty-three procedures have been performed in 38 patients (21 male, 17 female; mean age 42.7 years, range 6-76 years) over a three year period. Pathologies encountered were fistula-in-ano (42%), fissure-in-ano (26%), complicated perianal sepsis (16%) and carcinoma (5%). No specific abnormality was identified in 5 symptomatic patients (12%). Four patients with fissures had undergone previous sphincterotomy. In 22 cases (51.2%) the EAUS findings affected the surgical management (extent of muscle above a fistula 9 cases, extent of sphincterotomy 7 cases, site of sepsis identified 2 cases, exclusion of sepsis 2 cases, assessment of cancer resectability 1 case, biopsy of intersphincteric lesion 1 case). Intra-operative EAUS accurately identifies perianal disease and influences the surgical procedure per...Continue Reading

References

Mar 1, 1994·The British Journal of Surgery·A H SultanC I Bartram
Jun 1, 1994·Diseases of the Colon and Rectum·M J SolomonS Wilson
Dec 1, 1993·Diseases of the Colon and Rectum·D M CheongD G Jagelman
Aug 1, 1993·Annals of Surgery·K I DeenM R Keighley
Feb 1, 1993·Diseases of the Colon and Rectum·M J Solomon, R S McLeod
Apr 1, 1993·The British Journal of Surgery·A H SultanC I Bartram
Jun 1, 1993·Diseases of the Colon and Rectum·P A CataldoM A Luchtefeld
Aug 24, 1999·Diseases of the Colon and Rectum·L F YeeJ W Fleshman
Oct 29, 2000·Diseases of the Colon and Rectum·C RattoG Doglietto
Jun 8, 2001·Gastroenterology Clinics of North America·C Bartram
Oct 13, 2001·Diseases of the Colon and Rectum·N OnacaR Adar
May 31, 2002·The British Journal of Radiology·G T Rottenberg, A B Williams
Mar 11, 2003·Diseases of the Colon and Rectum·Simon S B ChewP R Douglas
Jun 7, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A J LengyelJ G Williams
Jul 26, 2003·European Journal of Radiology·Michael H Fuchsjäger, Andrea G Maier
Jul 26, 2003·European Journal of Radiology·Friedrich Herbst
Aug 9, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S J PretloveS Radley

❮ Previous
Next ❯

Citations

May 8, 2008·Diseases of the Colon and Rectum·Nicholas Weisman, Maher A Abbas
Mar 3, 2015·International Journal of Colorectal Disease·Antonio BrillantinoAdolfo Renzi
Jan 12, 2011·Tropical Animal Health and Production·Sylvia Muwanga NalubwamaMette Vaarst
Sep 4, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Jian-Hua DingYu-Juan Zhao

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.