PMID- 29340544
OWN - NLM
STAT- MEDLINE
DCOM- 20180927
LR  - 20220321
IS  - 2317-6326 (Electronic)
IS  - 0102-6720 (Print)
IS  - 0102-6720 (Linking)
VI  - 30
IP  - 4
DP  - 2017 Oct-Dec
TI  - INTERESFINCTERIAL LIGATION OF FISTULA TRACT (LIFT) FOR PATIENTS WITH ANAL 
      FISTULAS: A BRAZILIAN BI-INSTITUTIONAL EXPERIENCE.
PG  - 235-238
LID - S0102-67202017000400235 [pii]
LID - 10.1590/0102-6720201700040002 [doi]
AB  - BACKGROUND: The best treatment for anal fistula should extirpate infection and 
      promote healing of the tract, whilst preserving the anal sphincter complex and 
      full continence. AIM: To analyze the success rate after a modified technique for 
      ligation of the intersphincteric fistula tract (LIFT) for patients with anal 
      fistulas. METHODS: A prospective (observational cohort study) Brazilian 
      bi-institutional experience with a modified (ligation of the intersphincteric 
      fistula tract without excision) LIFT technique was undertaken. A clinical 
      database was settled for the following variables: age, gender, BMI, 
      comorbidities, distance between external orifice and the anus, previous fistula 
      surgery, type of fistula, operative time, intra- and postoperative complications, 
      duration of follow-up, and success rate. RESULTS: Between November 2015 and 
      January 2017, 38 patients with transsphincteric fistulas were operated on using 
      the modified LIFT procedure. Seventeen (44.7%) were men. Median age was 41 
      (18-67) years. Median BMI was 26.4 (22-38) kg/m2. Five (13.2%) had undergone 
      previous surgery. The fistula was transsphincteric in all cases. Median follow-up 
      was 32 (range, 14-56) weeks. Success was observed in 30 (79%) patients. 
      CONCLUSIONS: The LIFT technique without excision of the fistula tract proved to 
      be safe and effective for transsphincteric anal fistulas.
FAU - Araujo, Sergio Eduardo Alonso
AU  - Araujo SEA
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
FAU - Marcante, Marcelli Tainah
AU  - Marcante MT
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
FAU - Mendes, Carlos Ramon Siveira
AU  - Mendes CRS
AD  - Coloproctology, Santa Izabel Hospital, Salvador, BA.
FAU - Bertoncini, Alexandre Bruno
AU  - Bertoncini AB
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
FAU - Seid, Victor Edmond
AU  - Seid VE
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
FAU - Horcel, Lucas Araujo
AU  - Horcel LA
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
FAU - Perez, Rodrigo Oliva
AU  - Perez RO
AD  - Instituto Angelita & Gama, Coloproctologia, Sao Paulo, SP, Brazil.
FAU - Klajner, Sidney
AU  - Klajner S
AD  - Coloproctology, Hospital Israelita Albert Einstein, Sao Paulo, SP.
LA  - eng
LA  - por
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PL  - Brazil
TA  - Arq Bras Cir Dig
JT  - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of 
      digestive surgery
JID - 9100283
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Brazil
MH  - Cohort Studies
MH  - Digestive System Surgical Procedures/methods
MH  - Female
MH  - Humans
MH  - Ligation
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Rectal Fistula/*surgery
MH  - Young Adult
PMC - PMC5793138
COIS- Conflict of interest: none
EDAT- 2018/01/18 06:00
MHDA- 2018/09/28 06:00
PMCR- 2017/10/01
CRDT- 2018/01/18 06:00
PHST- 2017/06/20 00:00 [received]
PHST- 2017/09/21 00:00 [accepted]
PHST- 2018/01/18 06:00 [entrez]
PHST- 2018/01/18 06:00 [pubmed]
PHST- 2018/09/28 06:00 [medline]
PHST- 2017/10/01 00:00 [pmc-release]
AID - S0102-67202017000400235 [pii]
AID - 10.1590/0102-6720201700040002 [doi]
PST - ppublish
SO  - Arq Bras Cir Dig. 2017 Oct-Dec;30(4):235-238. doi: 10.1590/0102-6720201700040002.