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| Online-Ressource |
Verfasst von: | Joos, Andreas [VerfasserIn] |
| Bussen, Dieter [VerfasserIn] |
| Galata, Christian [VerfasserIn] |
| Reißfelder, Christoph [VerfasserIn] |
| Herold, Alexander [VerfasserIn] |
| Seyfried, Steffen [VerfasserIn] |
Titel: | Enteral resorbable diet versus standard diet in primary sphincter reconstruction |
Titelzusatz: | a prospective randomised trial |
Verf.angabe: | Andreas Joos, Dieter Bussen, Christian Galata, Christoph Reißfelder, Alexander Herold, Steffen Seyfried |
E-Jahr: | 2021 |
Jahr: | 23 March 2021 |
Umfang: | 6 S. |
Fussnoten: | Gesehen am 15.08.2023 |
Titel Quelle: | Enthalten in: International journal of colorectal disease |
Ort Quelle: | Berlin : Springer, 1986 |
Jahr Quelle: | 2021 |
Band/Heft Quelle: | 36(2021), 7, Seite 1455-1460 |
ISSN Quelle: | 1432-1262 |
Abstract: | Method Adult patients undergoing elective fistulectomy with primary sphincter reconstruction for anorectal and rectovaginal fistulas were eligible for inclusion. Patients were intraoperatively randomised to receive either the ED and peristalsis-inhibiting medication (ED) or a SD. The primary endpoint was the healing rate. Secondary endpoints included continence scores, complications and quality of life. Sample size calculation resulted in the analysis of 60 patients to detect a difference in fistula recurrence of 30% with 70% power and a 5% significance level. - Results Sixty-six patients (24 women) were prospectively and randomly assigned to the ED (n = 34: 51%) or a SD (n = 32; 48%); mean age was 47 (18-74) years. The primary healing rate was 64 out of 66 patients (96%). No statistical difference in healing rate was seen between the groups. However, patient satisfaction was significantly higher in the SD group (P < 0.0001). - Conclusions Fistulectomy with primary sphincter reconstruction is a safe method with low complication rates. Postoperative stool behaviour has no significant influence on the healing rate but has a significant negative impact on patient satisfaction. Therefore, maintaining a standard diet seems to be preferable following reconstructive anal surgery. |
DOI: | doi:10.1007/s00384-021-03878-x |
URL: | kostenfrei: Volltext: https://doi.org/10.1007/s00384-021-03878-x |
| kostenfrei: Volltext: https://link.springer.com/10.1007/s00384-021-03878-x |
| DOI: https://doi.org/10.1007/s00384-021-03878-x |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1856211991 |
Verknüpfungen: | → Zeitschrift |
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Lokale URL UB: | Zum Volltext |
Enteral resorbable diet versus standard diet in primary sphincter reconstruction / Joos, Andreas [VerfasserIn]; 23 March 2021 (Online-Ressource)
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