Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients
Abstract Background Anal fistula is a common benign anorectal disease that often requires surgical intervention for effective treatment. In recent years, preoperative colonoscopy as a diagnostic tool in patients with anal fistula has garnered increasing attention due to its potential clinical applic...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
|
| Series: | BMC Gastroenterology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12876-023-03066-x |
| _version_ | 1797388245572517888 |
|---|---|
| author | Shumin Xu Luo Zhang Zhi Li Kaiping Wang Fang Liu Bo Cao |
| author_facet | Shumin Xu Luo Zhang Zhi Li Kaiping Wang Fang Liu Bo Cao |
| author_sort | Shumin Xu |
| collection | DOAJ |
| description | Abstract Background Anal fistula is a common benign anorectal disease that often requires surgical intervention for effective treatment. In recent years, preoperative colonoscopy as a diagnostic tool in patients with anal fistula has garnered increasing attention due to its potential clinical application value. By investigating underlying inflammatory bowel disease (IBD), polyps, and other abnormalities, preoperative colonoscopy can offer insights to refine surgical strategies and improve patient outcomes. Methods This retrospective study focused on 1796 patients with various benign anorectal diseases who underwent preoperative intestinal endoscopy and met surgical criteria within the preceding three years at the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine. Among these patients, 949 diagnosed with anal fistula comprised group A, while 847 patients without anal fistula were assigned to group B for comparison. The investigation encompassed an analysis of general patient information, endoscopic findings, polyp histopathology, distribution of bowel inflammation sites, and results of inflammatory bowel disease assessments between the two patient cohorts. A subgroup analysis was also conducted on 2275 anal fistula patients with no surgical contraindications. This subgroup was categorized into Group A (949 patients who underwent preoperative intestinal endoscopy) and Group C (1326 patients who did not undergo preoperative colonoscopy). The study compared the rates of detecting endoscopic lesions and IBD-related findings between the two subgroups. Results The study initially confirmed the comparability of general patient information between groups A and B. Notably, the abnormal detection rate in group A was significantly higher than in group B (P < 0.01). In terms of endoscopic findings, the anal fistula group (group A) exhibited higher rates of detecting bowel inflammation, inflammatory bowel disease, and polyps compared to the non-anal fistula group (group B) (P < 0.05). The distribution of inflammation locations indicated higher detection rates in the terminal ileum, ileocecal region, and ascending colon for group A compared to group B (P < 0.05). Although the incidence of IBD in group A was higher than in group B, this difference did not reach statistical significance (P > 0.05). Subsequently, the analysis of the subgroup (groups A and C) revealed a significant disparity in intestinal endoscopic detection rates (P < 0.01) and statistically significant differences in detecting IBD (P < 0.05) and Crohn's disease (P < 0.05) between the two anal fistula subgroups. Conclusions The findings of this study underscore the substantial clinical value of preoperative colonoscopy in the comprehensive evaluation of patients with anal fistula. Preoperative colonoscopy aids in ruling out localized perianal lesions caused by underlying inflammatory bowel disease, thereby mitigating the likelihood of missed diagnoses and enhancing treatment outcomes. This research highlights the importance of incorporating preoperative colonoscopy as a valuable diagnostic tool in managing anal fistula patients. |
| first_indexed | 2024-03-08T22:38:01Z |
| format | Article |
| id | doaj.art-12ba03460f1e47d2bc94cea92f213e4b |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-03-08T22:38:01Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-12ba03460f1e47d2bc94cea92f213e4b2023-12-17T12:19:32ZengBMCBMC Gastroenterology1471-230X2023-12-0123111110.1186/s12876-023-03066-xEnhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patientsShumin Xu0Luo Zhang1Zhi Li2Kaiping Wang3Fang Liu4Bo Cao5Department of Anorectal Surgery, Guizhou Province, The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineDental Department, Guizhou Provincial People’s HospitalDepartment of Anorectal Surgery, Guizhou Province, The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineDepartment of Anorectal Surgery, Guizhou Province, The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineDepartment of Anorectal Surgery, Guizhou Province, The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineDepartment of Anorectal Surgery, Guizhou Province, The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineAbstract Background Anal fistula is a common benign anorectal disease that often requires surgical intervention for effective treatment. In recent years, preoperative colonoscopy as a diagnostic tool in patients with anal fistula has garnered increasing attention due to its potential clinical application value. By investigating underlying inflammatory bowel disease (IBD), polyps, and other abnormalities, preoperative colonoscopy can offer insights to refine surgical strategies and improve patient outcomes. Methods This retrospective study focused on 1796 patients with various benign anorectal diseases who underwent preoperative intestinal endoscopy and met surgical criteria within the preceding three years at the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine. Among these patients, 949 diagnosed with anal fistula comprised group A, while 847 patients without anal fistula were assigned to group B for comparison. The investigation encompassed an analysis of general patient information, endoscopic findings, polyp histopathology, distribution of bowel inflammation sites, and results of inflammatory bowel disease assessments between the two patient cohorts. A subgroup analysis was also conducted on 2275 anal fistula patients with no surgical contraindications. This subgroup was categorized into Group A (949 patients who underwent preoperative intestinal endoscopy) and Group C (1326 patients who did not undergo preoperative colonoscopy). The study compared the rates of detecting endoscopic lesions and IBD-related findings between the two subgroups. Results The study initially confirmed the comparability of general patient information between groups A and B. Notably, the abnormal detection rate in group A was significantly higher than in group B (P < 0.01). In terms of endoscopic findings, the anal fistula group (group A) exhibited higher rates of detecting bowel inflammation, inflammatory bowel disease, and polyps compared to the non-anal fistula group (group B) (P < 0.05). The distribution of inflammation locations indicated higher detection rates in the terminal ileum, ileocecal region, and ascending colon for group A compared to group B (P < 0.05). Although the incidence of IBD in group A was higher than in group B, this difference did not reach statistical significance (P > 0.05). Subsequently, the analysis of the subgroup (groups A and C) revealed a significant disparity in intestinal endoscopic detection rates (P < 0.01) and statistically significant differences in detecting IBD (P < 0.05) and Crohn's disease (P < 0.05) between the two anal fistula subgroups. Conclusions The findings of this study underscore the substantial clinical value of preoperative colonoscopy in the comprehensive evaluation of patients with anal fistula. Preoperative colonoscopy aids in ruling out localized perianal lesions caused by underlying inflammatory bowel disease, thereby mitigating the likelihood of missed diagnoses and enhancing treatment outcomes. This research highlights the importance of incorporating preoperative colonoscopy as a valuable diagnostic tool in managing anal fistula patients.https://doi.org/10.1186/s12876-023-03066-xAnal diseasesAnal fistulaPreoperative examinationColonoscopyRetrospective analysis |
| spellingShingle | Shumin Xu Luo Zhang Zhi Li Kaiping Wang Fang Liu Bo Cao Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients BMC Gastroenterology Anal diseases Anal fistula Preoperative examination Colonoscopy Retrospective analysis |
| title | Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients |
| title_full | Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients |
| title_fullStr | Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients |
| title_full_unstemmed | Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients |
| title_short | Enhancing surgical precision: unveiling the impact of preoperative colonoscopy in anal fistula patients |
| title_sort | enhancing surgical precision unveiling the impact of preoperative colonoscopy in anal fistula patients |
| topic | Anal diseases Anal fistula Preoperative examination Colonoscopy Retrospective analysis |
| url | https://doi.org/10.1186/s12876-023-03066-x |
| work_keys_str_mv | AT shuminxu enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients AT luozhang enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients AT zhili enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients AT kaipingwang enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients AT fangliu enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients AT bocao enhancingsurgicalprecisionunveilingtheimpactofpreoperativecolonoscopyinanalfistulapatients |