ReviewClinical and experimental gastroenterology2020
Management of Complex Cryptoglandular Anal Fistula: Challenges and Solutions.
Review in Clinical and experimental gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review and network meta-analysis of cryptoglandular complex anal fistula treatment: evaluation of surgical strategies.Updates in surgery · 2025Pooled it
- Adipose-derived stem cell therapies for complex anal fistula: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2025Pooled it
- Cutting seton for the treatment of cryptoglandular fistula-in-ano: a systematic review and meta-analysis.Techniques in coloproctology · 2023Pooled it
- Efficacy and Safety of Sphincter-Preserving Surgery in the Treatment of Complex Anal Fistula: A Network Meta-Analysis.Frontiers in surgery · 2022Pooled it
- Clinical efficacy and failure-related factors of the loose-seton procedure combined with transanal opening of the intersphincteric space technique (LoSet-TROPlS) in the treatment of complex anal fistulas.Techniques in coloproctology · 2026Article
- Article
- Preoperative transrectal three-dimensional ultrasound improves complex anal fistula diagnosis and surgical outcomes.The Journal of international medical research · 2026Article
- Differences in testosterone levels in perianal diseases: A comparative study of abscesses and fistulas.World journal of gastrointestinal surgery · 2026Article
- External validation of the modified Parks classification of cryptoglandular anal fistula to predict failure of healing: the protocol for a retrospective analysis.International journal of surgery protocols · 2025Article
- Rerouting of the tract in the treatment of high anal fistula: a single-center experience.Techniques in coloproctology · 2025Article
- The role of MRI in perianal fistulizing disease: diagnostic imaging and classification systems to monitor disease activity.Abdominal radiology (New York) · 2025Review
- High complex anal fistula managed by the modified transanal opening of the intersphincteric spaceWorld journal of radiology · 2024Article
- Efficacy and safety of transanal opening of intersphincteric space in the treatment of high complex anal fistula: A meta‑analysis.Experimental and therapeutic medicine · 2024Article
- Accuracy prediction of Goodsall's rule for anal fistulas of crypotogladular origin, is still standing?Annals of medicine and surgery (2012) · 2024Article
- Article
- A pilot study on staged surgery by delta video-assisted anal fistula treatment (dVAAFT) for complex anal fistula.Updates in surgery · 2023Article
- Newer procedures need to demonstrate efficacy in high complex anal fistulas.Annals of coloproctology · 2023Article
- Autologous Fat Grafting: an Emerging Treatment Option for Complex Anal Fistulas.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Surgical laser therapy for cryptoglandular anal fistula: Protocol of a systematic review and meta-analysis.PloS one · 2023Article
- The pathogenesis of cryptoglandular anal fistula: New insight into the immunological profile.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anal fistulae can be a very difficult disease to manage. The management of complex fistulae is even more challenging. The risk to the fecal continence mechanism due to damage to the anal sphincters and refractoriness to the treatment (high recurrence rate) pose the two biggest challenges in the management of this disease. Apart from these, there are several other challenges in the treatment of complex fistulae. The intriguing and uphill task is that satisfactory solutions to most of these challenges are still not known, and there is hardly any consensus on whatever treatment solutions are available. To summarize, there is no gold-standard treatment available for treating complex anal fistulae, and the search for a satisfactory treatment option is still on. In this review, the endeavor has been to discuss and highlight recent path-breaking updates in the management of complex anal fistulae.
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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.