Fistula-in-Ano in Children less than 2 Years of Age
Journal of the Korean Association of Pediatric Surgeons
;
: 170-176, 2010.
Artículo
en Coreano
| WPRIM
| ID: wpr-159820
ABSTRACT
The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was 7.2+/-5.2 months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8%) and four had fistulectomy (18.2%). Cryptotomies with fistulectomy were performed in 10 patients (45.5%) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recurrencia
/
Drenaje
/
Estudios Retrospectivos
/
Fístula Rectal
/
Absceso
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Niño
/
Humanos
/
Lactante
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Association of Pediatric Surgeons
Año:
2010
Tipo del documento:
Artículo
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