ISSN |
1948-9366 (online) |
Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Retrospective Cohort Study |
Article Title |
Proposal for a new classification of anorectal abscesses based on clinical characteristics and postoperative recurrence
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Shan-Zhong Chen, Kui-Jun Sun, Yi-Fan Gu, Hong-Yuan Zhao, Dong Wang, Yun-Fang Shi and Ren-Jie Shi |
ORCID |
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Funding Agency and Grant Number |
Funding Agency |
Grant Number |
The Zhenjiang City Key Research and Development Plan Social Development, China |
No. SH2023047 |
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Corresponding Author |
Ren-Jie Shi, MD, Chief Doctor, Professor, First Clinical Medical College, The Affiliated Hospital of Nanjing University of Chinese Medicine, No. 155 Hanzhong Road, Nanjing 210029, Jiangsu Province, China. 949194350@qq.com |
Key Words |
Anorectal abscess; New classification; Clinical characteristics; Risk factors; Postoperative recurrence rate; Surgical procedure |
Core Tip |
This retrospective study evaluated the predictive factors for postoperative anorectal abscess recurrence and proposed a new classification to guide surgical procedures, including incision and drainage alone or a combined concurrent fistulotomy. We found that the recurrence rate of fistula-prone and non-fistula-prone abscesses (FPAs) was 81.0% and 23.5%, respectively. Additionally, we demonstrated that FPAs, a duration ≥ 7 days from symptom onset to surgery, chronic diarrhea, and local anesthesia were independent risk factors for postoperative anorectal abscess recurrence. Our findings support using this new classification to guide the choice of surgical procedures for treating anorectal abscesses. |
Publish Date |
2024-10-30 14:58 |
Citation |
<p>Chen SZ, Sun KJ, Gu YF, Zhao HY, Wang D, Shi YF, Shi RJ. Proposal for a new classification of anorectal abscesses based on clinical characteristics and postoperative recurrence. <i>World J Gastrointest Surg</i> 2024; 16(11): 3425-3436</p> |
URL |
https://www.wjgnet.com/1948-9366/full/v16/i11/3425.htm |
DOI |
https://dx.doi.org/10.4240/wjgs.v16.i11.3425 |