GuidelineDeutsches Arzteblatt international2011
Cryptoglandular anal fistulas.
Guideline in Deutsches Arzteblatt international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Cutting seton for the treatment of cryptoglandular fistula-in-ano: a systematic review and meta-analysis.Techniques in coloproctology · 2023Pooled it
- German S3 guidelines: anal abscess and fistula (second revised version).Langenbeck's archives of surgery · 2017Pooled it
- German S3 guideline: anal abscess.International journal of colorectal disease · 2012Guideline
- German S3-Guideline: rectovaginal fistula.German medical science : GMS e-journal · 2012Pooled it
- A pilot randomized controlled trial on ligation of intersphincteric fistula tract (LIFT) versus modified parks technique and two-stage seton in treatment of complex anal fistula.Updates in surgery · 2022Trial
- Traditional Chinese surgical treatment for anal fistulae with secondary tracks and abscess.World journal of gastroenterology · 2012Trial
- Intraoperative Flexible Rectoscopy for Internal Opening Identification in Transsphincteric Perianal Fistula: A Feasible and Accessible Adjunct to Seton Placement.Medicina (Kaunas, Lithuania) · 2026Article
- Three-cavity clearance significantly reduces the postoperative fistula rate and abscess recurrence following glandular perianal abscess: a single-center real-world study.Techniques in coloproctology · 2026Article
- A Simple Programmable Cas12a/crRNA Induced Walking System for Sensitive Methicillin-ResistantJournal of microbiology and biotechnology · 2026Article
- Development of a new patient-reported outcome measure for complex cryptoglandular fistulas (20-Item complex cryptoglandular fistula questionnaireJournal of patient-reported outcomes · 2024Article
- Immediate sphincter repair following fistulotomy for anal fistula: does it impact the healing rate and septic complications?Annals of coloproctology · 2024Article
- Aerobic Microbiological Spectrum and Antibiotic Resistance in Children Operated for Anorectal Abscesses.Journal of clinical medicine · 2024Article
- Lifestyle Modifications and Dietary Factors versus Surgery in Benign Anorectal Conditions; Hemorrhoids, Fissures, and Fistulas.Iranian journal of medical sciences · 2023Article
- Crohn's Disease-Associated and Cryptoglandular Fistulas: Differences and Similarities.Journal of clinical medicine · 2023Review
- Effects of an anal fistula plug on anal function after surgery for treatment of a trans-sphincteric anal fistula.Langenbeck's archives of surgery · 2021Observational
- Current concepts in the pathogenesis of cryptoglandular perianal fistula.The Journal of international medical research · 2021Review
- Management of Perianal Fistulas in Crohn's Disease.Visceral medicine · 2019Review
- Three-cavity clearance (TCC) can decrease the fistula rate after drainage of a perianal abscess: a case-control study.Gastroenterology report · 2018Article
- Fistulectomy with primary sphincter reconstruction.International journal of colorectal disease · 2018Article
- Experimental porcine model of complex fistula-in-ano.World journal of gastroenterology · 2017Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCryptoglandular anal fistula arises in 2 per 10 000 persons per year and is most common in young men. Improper treatment can result in fecal incontinence and thus in impaired quality of life.
methodThis S3 guideline is based on a systematic review of the pertinent literature.
resultsThe level of evidence for treatment is low, because relevant randomized trials are scarce. Anal fistulae are classified according to the relation of the fistula channel to the sphincter. The indication for treatment is established by the clinical history and physical examination. During surgery, the fistula should be probed and/or dyed. Endo-anal ultrasonography and magnetic resonance imaging are of roughly the same diagnostic value and may be useful as additional studies for complex fistulae. Surgical treatment is with one of the following operations: laying open, seton drainage, plastic surgical reconstruction with suturing of the sphincter, and occlusion with biomaterials. Only superficial fistulae should be laid open. The risk of postoperative incontinence is directly related to the thickness of sphincter muscle that is divided. All high anal fistulae should be treated with a sphincter-saving procedure. The various plastic surgical reconstructive procedures all yield roughly the same results. Occlusion with biomaterials yields a lower cure rate.
conclusionThis is the first German S3 guideline for the treatment of cryptoglandular anal fistula. It includes recommendations for the diagnostic evaluation and treatment of this clinical entity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.