SynthesisTechniques in coloproctology2017
Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review.
Synthesis in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03861689 (A Prospective Longitudinal Study on the Effect of Tight Control Management on Perianal Crohn's Disease), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
A Prospective Longitudinal Study on the Effect of Tight Control Management on Perianal Crohn's Disease
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Video-assisted anal fistula treatment for complex anorectal fistulas in adults: a systematic review and meta-analysis.Techniques in coloproctology · 2022Pooled it
- Laser treatment of pilonidal disease: a systematic review.Lasers in medical science · 2022Pooled it
- Evaluation and management of perianal abscess and anal fistula: SICCR position statement.Techniques in coloproctology · 2020Guideline
- A novel sphincter-sparing procedure for seton removal in complex perianal fistulas: the FiLaFlap technique.Techniques in coloproctology · 2025Article
- Comparative outcomes of standard laser fistula closure (filac) versus filac combined with advancement flap in the treatment of complex anal fistulas.Techniques in coloproctology · 2024Article
- Surgical treatment trends and outcomes for anal fistula: fistulotomy is still accurate and safe. Results from a nationwide observational study.Techniques in coloproctology · 2023Observational
- The bared external anal sphincter (BEAS), a new technique for high horseshoe anal fistula: a hospital-based cohort study.Scientific reports · 2023Article
- VAAFT for complex anal fistula: a useful tool, however, cure is unlikely.Techniques in coloproctology · 2021Article
- Management of cryptoglandular fistula-in-ano among gastrointestinal surgeons in the Netherlands.Techniques in coloproctology · 2021Article
- Emerging Data on Fistula Laser Closure (FiLaC) for the Treatment of Perianal Fistulas; Patient Selection and Outcomes.Clinical and experimental gastroenterology · 2021Review
- Current review of the management of fistulising perianal Crohn's disease.Frontline gastroenterology · 2021Article
- Efficacy of video-assisted anal fistula treatment combined with closure of the internal opening using a stapler for Parks II anal fistula.Annals of translational medicine · 2020Article
- Assessing the effectiveness of laser fistulectomy for anal fistula: a retrospective cohort study.Techniques in coloproctology · 2020Article
- Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease.Techniques in coloproctology · 2020Review
- Management of Complex Cryptoglandular Anal Fistula: Challenges and Solutions.Clinical and experimental gastroenterology · 2020Review
- Are two better than one? VALIFT: video-assisted ligation of the intersphincteric fistula tract-a combination of two minimally invasive techniques for treatment of transsphincteric perianal fistulas.Techniques in coloproctology · 2019Article
- Anal Fistula Laser Closure: the length of fistula is the Achilles' heel.Techniques in coloproctology · 2018Observational
- A gastric feeding tube as a non-traumatic fistula probe during anal fistula repair.Techniques in coloproctology · 2018Article
- Innovation in the imaging perianal fistula: a step towards personalised medicine.Therapeutic advances in gastroenterology · 2018Article
- Medical and surgical management of perianal Crohn's disease.Annals of gastroenterologyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe surgical treatment of complex anal fistulae, particularly those involving a significant portion of the anal sphincter in which fistulotomy would compromise continence, is challenging. Video-assisted anal fistula treatment (VAAFT), fistula tract laser closure (FiLaC™) and over-the-scope clip (OTSC
methodsA systematic search of major databases was performed using defined terms. All studies reporting on experience of these techniques were included and outcomes (fistula healing and safety) evaluated.
resultsEighteen studies (VAAFT-12, FiLaC™-3, OTSC
conclusionsAll three techniques appear to be safe and feasible options in the management of anal fistulae, and short-term healing rates are acceptable with no sustained effect on continence. There is, however, a paucity of robust data with long-term outcomes. These techniques are thus welcome additions; however, their long-term place in the colorectal surgeon's armamentarium, whether diagnostic or therapeutic, remains uncertain.
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What OpenQuestion holds
Registered trials
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.