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2 results on '"López-Noguera, Julia"'

1. Estudio observacional nacional sobre tratamiento quirúrgico de fístula anal: ¿tiene impacto en los resultados el tipo de hospital?

Author

Espinosa Soria, Javier, Seguí Orejuela, Jordi, Corral, Natalia Gutiérrez, Carmona Agundez, María, Saavedra Pérez, David, Calvaienen Mejía, Helga, Barros Segura, Marta, Pellino, Gianluca, Rodríguez León, Gerardo, Jiménez Salido, Andrea, Gómez Sánchez, Tatiana, Roldán Ortiz, Susana, Cantero Gutiérrez, Luis Eloy, Suarez Pazo, Natalia, Cristóbal Poch, Lidia, Gómez López, Juan Ramón, Méndez Sánchez, Pablo, Fernández Veiga, Pilar, Flores Rodríguez, Victoria Erene, Cano Valderrama, Oscar, Moncada Iribarren, Enrique, Ortega Torrecilla, Nuria, Carrillo Acosta, Alberto, Plata Illescas, Cristina, Diez Vigil, Jose Luis, Laviano Martínez, Estefanía, Beltrán Martos, María, Zafra, David Ambrona, Pérez Farré, Silvia, Díaz Pé rez, David, Gallardo Herrera, Ana Belén, Viejo, Elena, Ocaña Jiménez, Juan, Núñez Núñez, Jordi, Correa Bonito, Alba, Bermejo Marcos, Elena, González Bocanegra, Marta, Ferrer Martínez, Alicia, Mirón Fernández, Irene, González Sánchez-Migallón, Elena, Solano Palao, María Teresa, Peña Ros, Emilio, Aldrey Cao, Inés, Suero Rodríguez, Carlenny, Maderuelo, Victoria, Abascal Amo, Aroa, Cintas Catena, Juan, La Villa, María del Campo, Esmaili Ramo, Mahur, Broeckhuizen Benítez, Javier, Navarro Barles, Ana, Pérez Sánchez, Luis Eduardo, Soto Sánchez, Ana, Díaz Jiménez, Nélida, Feria González, Ana María, Domenech Pina, Estefanía, Ros Comesaña, Alejandro, Balciscueta Coltell, Zutoia, Pérez Santiago, Leticia, Garzón Hernández, Luisa Paola, de Andrés Gómez, Alejandra, Melero Abellán, Antonio, Sancho Muriel, Jorge, Millán Scheiding, Mónica, Cholewa, Hanna, Alarcón Iranzo, Marina, Fluixá Pelegri, Ana, Fernández Miguel, Tamara, Ortega Machón, Natalia, Alonso Hernández, Natalia, García Granero, Álvaro, Civeira Taboada, Tatiana, Rojo Fernández, Yago, Navas Cuellar, Jose Aurelio, Castillo, Celia, Pascual Miguelañez, Isabel, Dios Barbeitio, Sandra, Reyes Díaz, María Luisa, García Cabrera, Ana María, Ramallo Solís, Irene María, Pérez Pérez, Teresa, Marín, Gabriel, Calero Lillo, Aranzazu, Sánchez Guillén, Luis, López Noguera, Julia, Pérez, Miguel Ángel, Cano-Valderrama, Oscar, Cerdán-Santacruz, Carlos, Fernández-Miguel, Tamara, García-Granero, Álvaro, Calderón, Teresa, and Reyes, María L.

Published
2024
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2. Surgical treatment trends and outcomes for anal fistula: fistulotomy is still accurate and safe. Results from a nationwide observational study.

Author

Cano‑Valderrama, Ó., Miguel, T. Fernández, Bonito, A. Correa, Muriel, J. Sancho, Fernández, F. J. Medina, Ros, E. Peña, Cabrera, A. M. García, Cerdán‑Santacruz, C., Grupo Joven de la Asociación Española de Coloproctología (GJ-AECP): Grupo de trabajo sobre fístula anal (Collaborative Group), Soria, Javier Espinosa, Orejuela, Jordi Seguí, Sánchez-Guillén, Luis, López-Noguera, Julia, Pérez, Miguel Ángel, Agúndez, María Carmona, Pérez, David Saavedra, Mejía, Helga Calvaienen, Segura, Marta Barros, Pellino, Gianluca, and León, Gerardo Rodríguez

Subjects
ANAL fistula, FECAL incontinence, ANAL surgery, SCIENTIFIC observation
Abstract

Purpose: The aim of the present study was to analyse current surgical treatment preferences for anal fistula (AF) and its subtypes and nationwide results in terms of success and complications. Methods: A retrospective multicentre observational cohort study was conducted. The study period was 1 year (2019), with a follow-up period of at least 1 year. A descriptive analysis of patient characteristics and trends regarding technical options was performed. Univariate and multivariate Cox regression models were used to analyse factors associated with healing and faecal incontinence (FI). Results: Fifty-one hospitals were involved, providing data on 1628 patients with AF. At a median follow-up of 18.3 (9.9–28.3) months, 1231 (75.9%) patients achieved healing, while 390 (24.1%) did not; failure was catalogued as persistence in 279 (17.2.0%) patients and as recurrence in 111 (6.8%). On multivariate analysis, factors associated with healing were fistulotomy (OR 5.5; 95% CI 3.8–7.9; p < 0.001), simple fistula (OR 2.1; 95% CI 1.5–2.8; p < 0.001), single tract (HR 1.9; 95% CI 1.3–2.8; p < 0.001) and number of preparatory surgeries (none vs. 3; HR 1.8; 95% CI 1.2–2.8; p = 0.006). Regarding de novo FI, in the multivariate analysis previous anal surgery (OR 1.5, 95% CI 1.0–2.4, p = 0.037), age (OR 1.02, 95% CI 1.00–1.04, p = 0.002) and being female (OR 1.7, 95% CI 1.1–2.5, p = 0.008) were statistically related. Conclusions: Anal fistulotomy is the most used procedure for AF, especially for simple AF, with a favourable overall balance between healing and continence impairment. Sphincter-sparing or minimally invasive sphincter-sparing techniques resulted in lower rates of healing. In spite of their intended sphincter-sparing design, a certain degree of FI was observed for several of these techniques. [ABSTRACT FROM AUTHOR]

Published
2023
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