PMID- 23320466
OWN - NLM
STAT- MEDLINE
DCOM- 20140123
LR  - 20220321
IS  - 1463-1318 (Electronic)
IS  - 1462-8910 (Linking)
VI  - 15
IP  - 5
DP  - 2013 May
TI  - Efficacy of LIFT for recurrent anal fistula.
PG  - 592-5
LID - 10.1111/codi.12104 [doi]
AB  - AIM: Ligation of the intersphincteric fistula tract (LIFT) is a novel 
      sphincter-preserving technique for anal fistula. This pilot study was designed to 
      evaluate the results in patients with a recurrent fistula. METHOD: Seventeen 
      patients [nine men; median age 49 (range, 30-76) years] with a recurrent 
      trans-sphincteric fistula were treated with a LIFT procedure between June 2008 
      and February 2011. All were followed prospectively for a median of 16 (range, 
      5-27) weeks with clinical examination. Fifteen followed for 13.5 (range, 8-26) 
      months by clinical examination also had three-dimensional (3D) anal ultrasound. 
      RESULTS: The duration of the procedure was 35 (range, 18-70) min. One patient 
      developed a small local haematoma and one had a subcutaneous infection, but 
      otherwise there was no morbidity. At follow up, 11 (65%) patients had a 
      successful closure, two (12%) had a remaining sinus and four (23%) had a 
      persistent fistula. The incidence of persistent or recurrent fistulae at 
      13.5 months was six (40%) of 15 patients. No de novo faecal incontinence was 
      reported. CONCLUSION: LIFT is a safe procedure for patients with recurrent anal 
      fistula, with healing at short-term and medium-term follow-up comparable with or 
      superior to that of other sphincter-preserving techniques. Larger studies with a 
      longer follow up are needed to define the ultimate role of LIFT in patients with 
      recurrence.
CI  - (c) 2013 The Authors. Colorectal Disease (c) 2013 The Association of Coloproctology 
      of Great Britain and Ireland.
FAU - Lehmann, J-P
AU  - Lehmann JP
AD  - Surgical Department, Ostersunds Sjukhus, Ostersund, Sweden. jan.lehmann@jll.se
FAU - Graf, W
AU  - Graf W
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - Colorectal Dis
JT  - Colorectal disease : the official journal of the Association of Coloproctology of 
      Great Britain and Ireland
JID - 100883611
SB  - IM
CIN - Colorectal Dis. 2013 May;15(5):596-7. PMID: 23617846
MH  - Adult
MH  - Aged
MH  - Anal Canal/surgery
MH  - Fecal Incontinence/etiology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Ligation/adverse effects
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - *Organ Sparing Treatments/adverse effects
MH  - Pilot Projects
MH  - Rectal Fistula/*surgery
MH  - Recurrence
EDAT- 2013/01/17 06:00
MHDA- 2014/01/24 06:00
CRDT- 2013/01/17 06:00
PHST- 2012/04/01 00:00 [received]
PHST- 2012/08/15 00:00 [accepted]
PHST- 2013/01/17 06:00 [entrez]
PHST- 2013/01/17 06:00 [pubmed]
PHST- 2014/01/24 06:00 [medline]
AID - 10.1111/codi.12104 [doi]
PST - ppublish
SO  - Colorectal Dis. 2013 May;15(5):592-5. doi: 10.1111/codi.12104.