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World J Gastroenterol. 2011 Jul 28;17(28):3286-91. doi: 10.3748/wjg.v17.i28.3286.

Current management of cryptoglandular fistula-in-ano.

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  • 1Department of Surgery, Division of Colon and Rectal Surgery, University of Pennsylvania Health System, Hospital of the University of Pennsylvania/Pennsylvania Hospital, Philadelphia, PA 19106, USA.


Fistula-in-ano is a difficult problem that physicians have struggled with for centuries. Appropriate treatment is based on 3 central tenets: (1) control of sepsis; (2) closure of the fistula; and (3) maintenance of continence. Treatment options continue to evolve - as a result, it is important to review old and new options on a regular basis to ensure that our patients are provided with up to date information and options. This paper will briefly cover some of the traditional approaches that have been used as well as some newer promising procedures.


Anorectal; Cryptoglandular; Fistula; Ligation of the intersphincteric fistula tract procedure; Sphincter sparing

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