Fistula-in-Ano in Children less than 2 Years of Age

2세 이하 소아 치루에 대한 임상적 분석

  • Jun, Si-Youl (Department of Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 전시열 (성균관대학교 의과대학 삼성창원병원 외과학교실)
  • Received : 2010.08.09
  • Accepted : 2010.11.17
  • Published : 2010.12.31

Abstract

The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was $7.2{\pm}5.2$ months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8 %) and four had fistulectomy (18.2 %). Cryptotomies with fistulectomy were performed in 10 patients (45.5 %) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.

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