Publicação

Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings

Ver documento

Detalhes bibliográficos
Resumo:ABSTRACT Objective: Perianal fistula is a common and debilitating disease. The definite treatment is surgery, identifying of primary and secondary tract, internal opening of fistula has important role in planning of surgical techniques. This study's goal was to determine the diagnostic accuracy of 3-D ultrasound in perianal fistula in comparison with intraoperative findings. Materials and methods: This study is a cross-sectional study. Adult patients (18–85 years old) with anal fistula have been selected. 3-D EUS was done for all patients by gastroenterologist. Then surgery was done. Check lists filled by endoscopist and surgeon was studied and data analysis was done. Results: The study examined 76 patients, in according to results for kappa coefficient there was a perfect agreement between 3-D ultrasound results and surgery in internal opening that was 96% (p < 0.001) and concordance was 0.974. In extension tract the agreement was 0.973 and concordance was 0.987 (p < 0.001). Conclusion: There was perfect agreement between 3-D ultrasound and surgical findings in internal opening, primary tract and trunk expansion. 3-D ultrasound shows a high diagnostic accuracy when compared with surgery to assessment of perianal fistula before surgery.
Autores principais:Rahmanian,Ehsan
Outros Autores:Frootan,Mojgan; Anaraki,Fakhri; Alimadadi,Elahe; Ramezanpoor,Mahsa
Assunto:Anal fistula Three dimensional endoscopic ultrasounds Surgery
Ano:2018
País:Brasil
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
_version_ 1871507636931788800
author Rahmanian,Ehsan
author2 Frootan,Mojgan
Anaraki,Fakhri
Alimadadi,Elahe
Ramezanpoor,Mahsa
author2_role author
author
author
author
author_facet Rahmanian,Ehsan
Frootan,Mojgan
Anaraki,Fakhri
Alimadadi,Elahe
Ramezanpoor,Mahsa
author_role author
country_str BR
creators_json_txt [{\"Person.name\":\"Rahmanian,Ehsan\"},{\"Person.name\":\"Frootan,Mojgan\"},{\"Person.name\":\"Anaraki,Fakhri\"},{\"Person.name\":\"Alimadadi,Elahe\"},{\"Person.name\":\"Ramezanpoor,Mahsa\"}]
datacite.creators.creator.creatorName.fl_str_mv Rahmanian,Ehsan
Frootan,Mojgan
Anaraki,Fakhri
Alimadadi,Elahe
Ramezanpoor,Mahsa
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
datacite.titles.title.fl_str_mv Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
dc.creator.none.fl_str_mv Rahmanian,Ehsan
Frootan,Mojgan
Anaraki,Fakhri
Alimadadi,Elahe
Ramezanpoor,Mahsa
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100009
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.38 n.1 2018
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
dc.subject.none.fl_str_mv Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
dc.title.fl_str_mv Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description ABSTRACT Objective: Perianal fistula is a common and debilitating disease. The definite treatment is surgery, identifying of primary and secondary tract, internal opening of fistula has important role in planning of surgical techniques. This study's goal was to determine the diagnostic accuracy of 3-D ultrasound in perianal fistula in comparison with intraoperative findings. Materials and methods: This study is a cross-sectional study. Adult patients (18–85 years old) with anal fistula have been selected. 3-D EUS was done for all patients by gastroenterologist. Then surgery was done. Check lists filled by endoscopist and surgeon was studied and data analysis was done. Results: The study examined 76 patients, in according to results for kappa coefficient there was a perfect agreement between 3-D ultrasound results and surgery in internal opening that was 96% (p < 0.001) and concordance was 0.974. In extension tract the agreement was 0.973 and concordance was 0.987 (p < 0.001). Conclusion: There was perfect agreement between 3-D ultrasound and surgical findings in internal opening, primary tract and trunk expansion. 3-D ultrasound shows a high diagnostic accuracy when compared with surgery to assessment of perianal fistula before surgery.
dirty 0
eu_rights_str_mv openAccess
format article
id oasisbr_3cff88b6b94f378df3c1942aa44a8fc7
identifier.url.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100009
inst_facet_str urn:organizationAcronym:oasisbr{{{_:::_}}}IBICT
instacron_str OASISBR
institution IBICT
instname_str IBICT
language eng
network_acronym_str oasisbr
network_name_str Oasisbr
oai_identifier_str oai:scielo:S2237-93632018000100009
organization_str_mv urn:organizationAcronym:oasisbr
person_str_mv Rahmanian,Ehsan
Frootan,Mojgan
Anaraki,Fakhri
Alimadadi,Elahe
Ramezanpoor,Mahsa
publishDate 2018
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
repo_facet_str urn:repositoryAcronym:oasisbr{{{_:::_}}}Oasisbr
reponame_str Oasisbr
repository_id_str urn:repositoryAcronym:oasisbr
service_str_mv urn:repositoryAcronym:oasisbr
spelling Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findingsRahmanian,EhsanFrootan,MojganAnaraki,FakhriAlimadadi,ElaheRamezanpoor,MahsaAnal fistulaThree dimensional endoscopic ultrasoundsSurgeryopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100009URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100009URLHasVersion2018-03-01ABSTRACT Objective: Perianal fistula is a common and debilitating disease. The definite treatment is surgery, identifying of primary and secondary tract, internal opening of fistula has important role in planning of surgical techniques. This study's goal was to determine the diagnostic accuracy of 3-D ultrasound in perianal fistula in comparison with intraoperative findings. Materials and methods: This study is a cross-sectional study. Adult patients (18–85 years old) with anal fistula have been selected. 3-D EUS was done for all patients by gastroenterologist. Then surgery was done. Check lists filled by endoscopist and surgeon was studied and data analysis was done. Results: The study examined 76 patients, in according to results for kappa coefficient there was a perfect agreement between 3-D ultrasound results and surgery in internal opening that was 96% (p < 0.001) and concordance was 0.974. In extension tract the agreement was 0.973 and concordance was 0.987 (p < 0.001). Conclusion: There was perfect agreement between 3-D ultrasound and surgical findings in internal opening, primary tract and trunk expansion. 3-D ultrasound shows a high diagnostic accuracy when compared with surgery to assessment of perianal fistula before surgery.engtext/htmlSociedade Brasileira de ColoproctologiaJournal of Coloproctology (Rio de Janeiro) v.38 n.1 2018reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCPjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
Rahmanian,Ehsan
Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
status SINGLETON
status_str VoR
subject.fl_str_mv Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
title Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
title_full Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
title_fullStr Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
title_full_unstemmed Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
title_short Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
title_sort Evaluation of diagnostic accuracy of 3-D endoanal ultrasound in perianal fistula in comparison with intraoperative findings
topic Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
topic_facet Anal fistula
Three dimensional endoscopic ultrasounds
Surgery
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632018000100009
visible 1

Atividades financiadas

Não foram encontrados projetos financiados.