PMID- 29146001
OWN - NLM
STAT- MEDLINE
DCOM- 20171130
LR  - 20171130
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 214
IP  - 6
DP  - 2017 Dec
TI  - What happens after a failed LIFT for anal fistula?
PG  - 1210-1213
LID - S0002-9610(17)30499-3 [pii]
LID - 10.1016/j.amjsurg.2017.08.042 [doi]
AB  - BACKGROUND: Ligation of the intersphincteric fistula tract (LIFT) was developed 
      to treat transsphincteric anal fistulas. The aftermath of a failed LIFT has not 
      been well documented. METHODS: Retrospective chart review of LIFT procedure for 
      transsphincteric anal fistula between March 2012 and September 2016. RESULTS: 53 
      patients with LIFT procedure were identified, 20 (37.7%) had persistent fistula 
      with median followup of 4 months. Following LIFT, recurrence of fistula was 
      transsphincteric (75%) or intersphincteric (25%) (p = NS). Persistent 
      transsphincteric fistulas after LIFT were treated with seton (71.4%) followed by 
      advancement flap (20%) or fistulotomy (50%). Of the recurrent intersphincteric 
      fistulas, 50% underwent seton placement followed by fistulotomy, or advancement 
      flap. Of the patients who underwent surgery after failed LIFT, 50% have had 
      resolution of the fistula; 31.7% are still undergoing treatment. CONCLUSION: 
      Patients who underwent surgery after failed LIFT had 50% healing with placement 
      of seton followed by fistulotomy or rectal advancement flap.
CI  - Copyright (c) 2017. Published by Elsevier Inc.
FAU - Wright, Moriah
AU  - Wright M
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Thorson, Alan
AU  - Thorson A
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Blatchford, Garnet
AU  - Blatchford G
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Shashidharan, Maniamparampil
AU  - Shashidharan M
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Beaty, Jennifer
AU  - Beaty J
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Bertelson, Noelle
AU  - Bertelson N
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Aggrawal, Piyush
AU  - Aggrawal P
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Taylor, Lindsay
AU  - Taylor L
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA.
FAU - Ternent, Charles A
AU  - Ternent CA
AD  - Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI 
      Medical Center, Omaha, NE, USA. Electronic address: cat@colonrectalsurgeons.com.
LA  - eng
PT  - Journal Article
DEP - 20170918
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
CIN - Am J Surg. 2017 Dec;214(6):1214. PMID: 29146002
MH  - Adult
MH  - Aged
MH  - Digestive System Surgical Procedures/*methods
MH  - Female
MH  - Humans
MH  - Ligation/methods
MH  - Male
MH  - Middle Aged
MH  - Rectal Fistula/*surgery
MH  - Recurrence
MH  - Retrospective Studies
MH  - Surgical Flaps
MH  - Treatment Failure
MH  - Treatment Outcome
EDAT- 2017/11/18 06:00
MHDA- 2017/12/01 06:00
CRDT- 2017/11/18 06:00
PHST- 2017/03/11 00:00 [received]
PHST- 2017/07/27 00:00 [revised]
PHST- 2017/08/05 00:00 [accepted]
PHST- 2017/11/18 06:00 [entrez]
PHST- 2017/11/18 06:00 [pubmed]
PHST- 2017/12/01 06:00 [medline]
AID - S0002-9610(17)30499-3 [pii]
AID - 10.1016/j.amjsurg.2017.08.042 [doi]
PST - ppublish
SO  - Am J Surg. 2017 Dec;214(6):1210-1213. doi: 10.1016/j.amjsurg.2017.08.042. Epub 
      2017 Sep 18.