Evidence map›Paper›PMID 33580275›Full record

ArticleInternational journal of colorectal disease2021

Fistulectomy and endorectal advancement flap repair for cryptoglandular anal fistula: recurrence and functional outcome over 10 years of follow-up.

Carlos Chaveli Diaz, Irene Esquiroz Lizaur, José Marzo Virto, Fabiola Oteiza Martínez, Gregorio Gonzalez Álvarez, Mario de Miguel Velasco, Miguel Ángel Ciga Lozano

Abstract read
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In one paragraph

Article in International journal of colorectal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Outcomes of Transanal Advancement Flap Repair and Hybrid Seton Placement in 84 Patients With Transsphincteric Anal Fistula.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carlos Chaveli DiazUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain. carlos.chaveli.diaz@navarra.es.ORCID http://orcid.org/0000-0002-1194-925X
Irene Esquiroz LizaurUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.
José Marzo VirtoUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.
Fabiola Oteiza MartínezUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.
Gregorio Gonzalez ÁlvarezUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.
Mario de Miguel VelascoUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.
Miguel Ángel Ciga LozanoUnit of Colorectal Surgery, Department of Surgery, Complejo Hospitalario de Navarra, C/ Irunlarrea 3, Secretaría de Cirugía, Pabellón H3, E-31008, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine long-term recurrence and anal continence of patients with anal fistula treated by fistulectomy and endorectal advancement flap repair.

methodRetrospective analysis of a prospective cohort of 115 patients (77.4% males, mean age 48.9 years) requiring 130 procedures, with a minimum follow-up of 10 years. Recurrence included reappearance of fistula after wound healing or presence of an abscess or chronic suppuration in the operated area at follow-up. Fecal incontinence was evaluated by the Cleveland Clinic Florida (CCF-FI) fecal incontinence scoring system.

resultsThe mean and SD duration of the follow-up period was 155.5 (21.7) months. Recurrence developed in 31 (23.8%) cases, 28 (90.3%) of which within the first year, with a mean time to recurrence of 4.9 (2.9) months. The success rate was 76.2%. Anal continence was normal in 80% of patients before surgery, 63.8% at 1-year follow-up, and 71.5% at the end of follow-up (p < 0.001). Overall, continence worsened in 16.9% of cases. The mean (95% CI) CCF-FI score was 0.78 (0.35-1.21) preoperatively, 1.04 (0.64-1.43) at 1 year after surgery, 0.90 (0.52-1.29) at 5 years, and 1.16 (0.66-1.67) at the end of the study (p < 0.05). Neither recurrence nor continence was significantly associated with previous anal or fistula surgical procedures or complexity of the fistula.

conclusionIn this study, fistulectomy and endorectal advancement flap repair was associated with a long-term high rate of success. Most recurrences occurred within the first year and continence showed a mild deterioration over time. CLINICAL

trial registrationNot applicable.

Indexed as

Fecal IncontinenceRectal FistulaAnal CanalFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRecurrenceRetrospective StudiesTreatment OutcomeAnorectal continenceCryptoglandular fistulaLong-term follow-upTransanal advancement flap repairTranssphincteric fistula

Identifiers

PMID33580275

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.