Guideline Addresses Anorectal Abscess; Anal, Rectovaginal Fistulas

WEDNESDAY, Aug. 10, 2022 (HealthDay News) -- In clinical practice guidelines issued by the American Society of Colon and Rectal Surgeons and published in the August issue of Diseases of the Colon & Rectum, updated recommendations are presented for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula.
After reviewing the literature, Wolfgang B. Gaertner, M.D., from the University of Minnesota in Minneapolis, and colleagues included three new and six updated recommendations in the new guidelines. A new recommendation is that a combination of surgical and medical approaches is recommended for the typical management of anorectal fistula associated with Crohn disease (strong recommendation based on moderate-quality evidence). Among the updated recommendations, the anal fistula plug and fibrin glue are relatively ineffective treatments for fistula-in-ano (strong recommendation based on moderate-quality evidence). For fistula-in-ano associated with Crohn disease, endorectal advancement flaps and the LIFT procedure may be used for treatment (strong recommendation based on moderate-quality evidence). In its entirety, the updated guideline contains 25 recommendations.
"The ultimate judgment regarding the propriety of any specific procedure must be made by the physician considering all the circumstances presented by the individual patient," the authors write.
Two authors disclosed financial ties to the pharmaceutical and medical device industries.
Related Posts
Resident Doctors’ Long Work Shifts Could Bring Peril to Patients
FRIDAY, April 14, 2023 (HealthDay News) -- Early-career doctors were more likely...
EE. UU. distribuirá 800,000 dosis de la vacuna contra la viruela del simio
JUEVES, 28 de julio de 2022 (HealthDay News) -- En medio de las preocupaciones...
Una nueva comprensión sobre los genes que provocan la epilepsia podría ayudar con el tratamiento
LUNES, 6 de septiembre de 2021 (HealthDay News) -- Unos investigadores daneses...
Triple-Digit Heat Wave a Danger to Those With Dementia
TUESDAY, July 11, 2023 (HealthDay News) -- As extreme heat continues to blanket...