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Related Experiment Video

Updated: May 27, 2026

Colonial Wig Pancreaticojejunostomy

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Cryptoglandular anal fistulas.

Andreas Ommer¹, Alexander Herold, Eugen Berg

¹End- und Dickdarmpraxis Essen, Germany. aommer@online.de

Deutsches Arzteblatt International

|November 25, 2011

Summary

This summary is machine-generated.

Cryptoglandular anal fistula guidelines recommend sphincter-saving procedures for high fistulae. Treatment choice depends on fistula classification, with biomaterial occlusion showing lower cure rates.

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Last Updated: May 27, 2026

Colonial Wig Pancreaticojejunostomy

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Area of Science:

Gastroenterology
Colorectal Surgery
Medical Guidelines

Background:

Cryptoglandular anal fistula affects 2 in 10,000 individuals annually, predominantly young men.
Inadequate treatment can lead to fecal incontinence and diminished quality of life.

Purpose of the Study:

To establish the first German S3 guideline for diagnosing and treating cryptoglandular anal fistula.
Provide evidence-based recommendations for clinical practice.

Main Methods:

Systematic literature review to inform guideline development.
Classification of anal fistulae based on sphincter involvement.

Main Results:

Low level of evidence due to scarce randomized trials.
Diagnostic value of endo-anal ultrasonography and MRI is comparable for complex fistulae.
Sphincter-saving procedures are recommended for high anal fistulae; laying open is suitable only for superficial fistulae.
Biomaterial occlusion has a lower cure rate compared to other surgical options.

Conclusions:

The guideline provides recommendations for the diagnostic evaluation and treatment of cryptoglandular anal fistula.
Highlights the importance of sphincter preservation to prevent incontinence.