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. 2020 Jul 28;12(6):524-534.
doi: 10.1136/flgastro-2019-101234. eCollection 2021.

Managing non-IBD fistulising disease

Kapil Sahnan  1   2 , Samuel Adegbola  1   2 , Nusrat Iqbal  1   2 , Charlene Twum-Barima  1   2 , Lillian Reza  1   2 , Phillip Lung  2 , Janindra Warusavitarne  1   2 , Ailsa Hart  2   3 , Phil Tozer  1   2
Affiliations

Managing non-IBD fistulising disease

Kapil Sahnan et al. Frontline Gastroenterol. .
No abstract available

Keywords: anal sepsis; anorectal disorders; gastrointestinal fistulae; ileoanal pouch.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Types of horseshoe fistula.
Figure 2
Figure 2
Complex supralevator horseshoe in a patient with a refractory cryptoglandular fistula.
Figure 3
Figure 3
Findings at examination under anaesthesia may not always be easy to interpret; in both cases, the internal and external openings are in the same location, but the cavity is high in the supralevator space in the left image and in the ischioanal fossa in the image on the right. Drainage of these cavities should take place in different locations so differentiating between them is crucial.
Figure 4
Figure 4
Complex fistulas—intersphincteric (red) and trans-sphincteric (blue) tracts in a patient with complex cryptoglandular disease.
Figure 5
Figure 5
Stepwise management from abscess to fistula. I&D, incision and drainage; SPP, sphincter preserving procedure.
Figure 6
Figure 6
Representation of the four aetiological groups. IBD, inflammatory bowel disease.
Figure 7
Figure 7
Pouch fistula (green: pouch, red: fistula, blue: internal opening of fistula coming into pouch anastomosis).
Figure 8
Figure 8
Anovaginal fistula tract (anus—blue, fistula—red, vagina—green).
See this image and copyright information in PMC

References

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