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Title:Ultrasound in diagnosis and treatment of anal fistulas
Authors:ID Košorok, Pavle (Author)
Files:.pdf PDF - Presentation file, download (401,37 KB)
MD5: D120812DE56D64BEA644C939A02EC424
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:Buckground. Endoanal ultrasound (EUS) is helpful in the diagnosis of anorectalfistulas and abscesses due to its high resolution image quality and anatomical orientation using a radial scanning echoprobe. This type of information is essential in monitoring the response to treatment. Initial EUS examination prior to treatment, is mandatory in order to compare the results before and after treatment. Intraoperative EUS may also be helpful if the lesion is deep beyond the pelvic floor muscle which may not be seen during surgery. Better results in EUS imaging of perianorectal fistulas can be obtained using hydrogen peroxide as a contrast medium. Concomitant advantage of hydrogen peroxide ultrasound was the detection of suspected or unsuspected sphincter defects. However, interobserver reliability has to be taken into account together with the learning curve of a particular observer. Conclusions. Endoanal US is a safe, economic, and reliable procedure for the assessment of fistula-in-ano, and is superior to physical examination.
Publication status:Published
Publication version:Version of Record
Publication date:01.12.1999
Publisher:Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
Year of publishing:1999
Number of pages:str. 267-274
Numbering:Letn. 33, št. 4
Source:Ljubljana
PID:20.500.12556/DiRROS-17924 New window
UDC:616-006
ISSN on article:1318-2099
COBISS.SI-ID:11070425 New window
Copyright:by Authors
Note:BSDOCID49503;
Publication date in DiRROS:22.01.2024
Views:162
Downloads:37
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:Ultrazvok kot pomoč pri diagnostiki in zdravljenju analnih fistul
Abstract:Izhodišča. Endoanalni ultrazvok (EUZ) je koristna preiskavna metoda v diagnostiki anorektalnih fistul in abscesov. Z uporabo radialne UZ sonde dobimo kvalitetno sliko visoke ločljivosti in dobro anatomsko orientacijo. Ta vrsta informacije je ključna v sledenju uspeha zdravljenja. Začetna EUZ slika narejena pred posegom je potrebna zaradi primerjave rezultatov pred in po posegu. EUZ med operacijo je v pomoč, če je lezija visoko nad mišičjem medeničnega dna, kar bi med operacijo morda spregledali. Boljše EUZ slike perianalnih fistul lahko dobimo, če uporabimo kot kontrastno sredstvo vodikov peroksid. Dodatna prednost kontrastnega EUZ slikanja z vodikovim peroksidom jeodkrivanje morebitnih pričakovanih ali tudi nenadejanih poškodb mišice zapiralke. Vsekakor je potrebno upoštevati individualnost ocen posameznih preiskovalcev in tudi večjo zanesljivost rezultatov z rastočimi izkušnjami preiskovalcev. Zaključki. Endoanalni UZ je varna, ekonomična in zanesljiva preiskava za odkrivanje paraanalnih fistul, ki nudi več podatkov kot sam klinični pregled.


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