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Anorectal benign disease
Process to determine the level of the primary internal opening of anal fistula on magnetic resonance imaging
Pankaj Garg, Baljit Kaur, G. Mahak
Ann Coloproctol. 2025;41(3):253-258.   Published online June 24, 2025
DOI: https://doi.org/10.3393/ac.2024.00948.0135
  • 4,368 View
  • 75 Download
PDF
Review
Anorectal benign disease
Recent advances in the diagnosis and treatment of complex anal fistula
Pankaj Garg, Kaushik Bhattacharya, Vipul D. Yagnik, G. Mahak
Ann Coloproctol. 2024;40(4):321-335.   Published online August 30, 2024
DOI: https://doi.org/10.3393/ac.2024.00325.0046
  • 65,535 View
  • 1,751 Download
  • 19 Web of Science
  • 26 Citations
AbstractAbstract PDF
Anal fistula can be a challenging condition to manage, with complex fistulas presenting even greater difficulties. The primary concerns in treating this condition are a risk of damage to the anal sphincters, which can compromise fecal continence, and refractoriness to treatment, as evidenced by a high recurrence rate. Furthermore, the treatment of complex anal fistula involves several additional challenges. Satisfactory solutions to many of these obstacles remain elusive, and no consensus has been established regarding the available treatment options. In summary, complex anal fistula has no established gold-standard treatment, and the quest for effective therapies continues. This review discusses and highlights groundbreaking advances in the management of complex anal fistula over the past decade.

Citations

Citations to this article as recorded by  
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  • Levator ani involvement in perianal fistulas: MRI-based insights into complex anatomy
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