Anal fistula Classification & external resources | ICD-10 | K60.3 | | ICD-9 | 565.1 | An anal fistula is an abnormal infection that grows a second head between the epithelialised surface of the anal canal and (usually) the perianal skin. (See definition of a fistula). The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ...
The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ...
// K00-K93 - Diseases of the digestive system (K00-K14) Diseases of oral cavity, salivary glands and jaws (K00) Disorders of tooth development and eruption (K01) Embedded and impacted teeth (K02) Dental caries (K03) Other diseases of hard tissues of teeth (K04) Diseases of pulp and periapical tissues (K040) Pulpitis (K05...
The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ...
The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ...
Anal can mean: Anus, the external opening of the rectum Anal retentive, a person overly uptight or distressed over ordinarily minor problems Anal sex, anal sexual intercourse This is a disambiguation page, a list of pages that otherwise might share the same title. ...
In medicine, a fistula (pl. ...
In zootomy, epithelium is a tissue composed of a layer of cells. ...
The anal canal is the terminal part of the large intestine. ...
In medicine, a fistula (pl. ...
Anal fistulae originate from the anal glands, which are located between the two layers of the anal sphincters and which drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula. Illustration showing the location of the anal glands in a typical dog. ...
Male Anatomy The anus, in anatomy, is the external opening of the rectum. ...
The anal canal is the terminal part of the large intestine. ...
For the death metal band, see Abscess (band). ...
Tract may be a reference to: tract (anatomy), a bundle of nerve fibers following a path through the brain, or a collection of related anatomic structures (e. ...
Abscesses can recur if the fistula seals over, allowing the accumulation of pus. It then points to the surface again, and the process repeats. For the UK punk rock band, see P*U*S. PUS is also the IATA code for Gimhae International Airport. ...
Anal fistulas cannot harm and they often do not hurt, but they can be irritating because of the pus-drain. Surgery is not necessary, but many find fistula to be a source of discomfort. Symptoms
Anal fistulae can present with many different symptoms: - Pain
- Discharge - either bloody or purulent
- Pruritus ani - itching
- Systemic symptoms if abscess becomes infected
Pus is a whitish-yellow or yellow substance that can be found in regions of bacterial infection, including superficial infections, such as pimples. ...
Pruritus ani is a medical term which refers to persistent itching of the anus (and in Latin means literally the same thing). ...
Diagnosis Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred to as EUA - Examination Under Anaesthesia). The examination can be an anoscopy. A hospital today is an institution for professional health care provided in part by physicians and nurses. ...
Anesthesia (AE), also anaesthesia (BE), is the process of blocking the perception of pain and other sensations. ...
An anoscopy is an examination using a small, rigid speculum (anoscope) inserted a few inches into to the anus in order to evaluate problems of the anal canal. ...
Possible findings: - The opening of the fistula onto the skin may be seen
- The area may be painful on examination
- There may be redness
- An area of induration may be felt - thickening due to chronic infection
- A discharge may be seen
- It may be possible to explore the fistula using a fistula probe (a narrow instrument) and in this way it may be possible to find both openings of the fistula
Induration (indoo rÄshÉn, -dyoo-), a noun, means, in terms of pathology, (a) hardening of an area of the body as a reaction to inflammation, hyperemia, or neoplastic infiltration, or (b) an area or part of the body that has undergone such a reaction. ...
Treatment There are several stages to treating an anal fistula:
Treating active infection Some patients will have active infection when they present with a fistula, and this requires clearing up before definitive treatment can be decided. An infection is the detrimental colonization of a host organism by a foreign species. ...
Antibiotics can be used as with other infections, but the best way of healing infection is to prevent the buildup of pus in the fistula, which leads to abscess formation. This can be done with a seton - a length of suture material looped through the fistula which keeps it open and allows pus to drain out. In this situation, the seton is referred to as a draining seton. An antibiotic is a drug that kills or slows the growth of bacteria. ...
A seton or seton stitch is a medical term for a procedure used to aid the healing of fistulae. ...
For other uses, see Suture (disambiguation). ...
For the UK punk rock band, see P*U*S. PUS is also the IATA code for Gimhae International Airport. ...
A seton or seton stitch is a medical term for a procedure used to aid the healing of fistulae. ...
Definitive Treatment Definitive treatment of a fistula aims to stop it recurring. Treatment depends on where the fistula lies, and which parts of the anal sphincter it crosses. Male Anatomy The anus, in anatomy, is the external opening of the rectum. ...
There are several options: - Doing nothing - a drainage seton can be left in place long-term to prevent problems. This is the safest option although it does not definitively cure the fistula.
- Conversion to a cutting seton - this involves a similar process to a draining seton but the suture is tied tightly. This gradually cuts through the muscle and skin involved, leaving behind a small area of scarring. This cures the fistula in most cases, but can cause incontinence in a small number of cases, mainly of flatus (wind).
- Lay-open of fistula-in-ano - this option involves an operation to cut the fistula open and let it heal naturally. This cures the fistula but leaves behind a scar, and can cause problems with incontinence. This option is not suitable for complex fistulae, or those that cross the entire anal sphincter.
- Fibrin glue injection is a method explored in recent years, with variable success. It involves injecting the fistula with a biodegradable glue which should, in theory, close the fistula from the inside out, and let it heal naturally. This method is perhaps best tried before all others since, if successful, it avoids the risk of incontinence, and creates minimal stress for the patient.
- Fistula plug is an "advanced" version of the fibrin glue method. It involves "plugging" the fistula with a "plug" made of porcine small intestine submucosa (sterile, biodegradable), fixing the plug from the inside of the anus with suture, and, again, letting the fistula heal "naturally" from the inside out. According to some sources, the success rate with this method is as high as 80%.
- Endorectal advancement flap is a procedure in which the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening. The flap is lifted to expose the fistula, which is then cleaned and the internal opening is sewn shut. After cutting the end of the flap on which the internal opening was, the flap is pulled down over the sewn internal opening and sutured in place. The external opening is cleaned and sutured. Success rates are variable and high recurrence rates are directly related to previous attempts to correct the fistula.
- Anal Fistula Plug is a recently developed method known as AFP. This treatment requires placement and fixing of a plug in the anal fistula by a special technique. The plug is made of highly sophisticated absorbent material; it provides a scaffold over which body’s collagen gets deposited and closes the fistula. Comparative studies have shown this method to be very effective. One advantage of this method is that it involves no cutting, so there is no post operative wound and pain. AFP plugs can sometimes be inserted under local anesthesia. This method can be used successfully to treat high fistula without colostomy. It does not carry any risk of bowel incontinence. As opposed to the staged operations, which may require multiple hospitalizations, AFP requires hospitalization for only about 24 hours. The success rate of AFP is better than the other procedures. AFP was approved for clinical use by the FDA in May 2005 and hundreds of procedures have been done since then.
A scar results from the biologic process of wound repair in the skin and other tissues of the body. ...
Fecal incontinence is the loss of regular control of the bowels. ...
Flatus is a semi-retired webcomic featured on The Double S webpage (www. ...
For other uses, see Wind (disambiguation). ...
Fecal incontinence is the loss of regular control of the bowels. ...
Male Anatomy The anus, in anatomy, is the external opening of the rectum. ...
The United States Food and Drug Administration is the government agency responsible for regulating food, dietary supplements, drugs, cosmetics, medical devices, biologics and blood products in the United States. ...
External links | Digestive system - Gastroenterology (primarily K20-K93, 530-579) | | Esophagus | GERD - Achalasia - Boerhaave syndrome - Zenker's diverticulum - Mallory-Weiss syndrome - Barrett's esophagus | Stomach/ duodenum | Peptic (gastric/duodenal) ulcer - Gastritis - Gastroenteritis - Duodenitis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroptosis - Gastroparesis | | Hernia | Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus | | Noninfective enteritis and colitis | IBD (Crohn's, Ulcerative colitis) - noninfective gastroenteritis | | Other intestinal | Abdominal angina - Ileus/Bowel obstruction (Intussusception, Volvulus) - Diverticulitis/Diverticulosis - IBS other functional intestinal disorders (Constipation, Diarrhea, Megacolon/Toxic megacolon, Proctalgia fugax) - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis) | | Liver/hepatitis | Alcoholic liver disease - Liver failure (Acute liver failure) - Cirrhosis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome | | Accessory digestive | Gallbladder (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Rokitansky-Aschoff sinuses) Biliary tree (Cholangitis, Cholestasis/Mirizzi's syndrome, PSC, Biliary fistula, Ascending cholangitis) what was here was sick and improperly spelled. ...
Gastroenterology (MeSH heading[2] ) is the branch of medicine where the digestive system and its disorders are studied. ...
The esophagus (also spelled oesophagus/Åsophagus, Greek ), or gullet is an organ in vertebrates which consists of a muscular tube through which food passes from the pharynx to the stomach. ...
Gastroesophageal Reflux Disease (GERD or GORD using the British Åsophageal) is defined as chronic symptoms or mucosal damage produced by the abnormal reflux in the esophagus[1]. This is commonly due to transient or permanent changes in the barrier between the esophagus and the stomach. ...
Achalasia, also known as esophageal achalasia, achalasia cardiae, cardiospasm, dyssynergia esophagus, and esophageal aperistalsis, is an esophageal motility disorder. ...
Boerhaave syndrome (also called Boerhaaves syndrome) is rupture of the esophagus. ...
In anatomy, Zenkers diverticulum is a diverticulum of the mucous membrane of the oesophagus through a defect in the wall of oesophagus. ...
Mallory-Weiss Syndrome refers to bleeding from tears in the mucosa at the junction of the stomach and esophagus, usually caused by severe retching, coughing, or vomiting. ...
Barretts esophagus (sometimes called Barretts syndrome, CELLO, columnar epithelium lined lower (o)esophagus or colloquially as Barretts) refers to an abnormal change (metaplasia) in the cells of the lower end of the esophagus thought to be caused by damage from chronic acid exposure, or reflux esophagitis. ...
In anatomy, the stomach is a bean-shaped hollow muscular organ of the gastrointestinal tract involved in the second phase of digestion, following mastication. ...
In anatomy of the digestive system, the duodenum is a hollow jointed tube about 25-30 cm long connecting the stomach to the jejunum. ...
A benign gastric ulcer (from the antrum) of a gastrectomy specimen. ...
Gastritis is inflammation of the gastric mucosa. ...
See also Bacterial gastroenteritis and Diarrhea Gastroenteritis is a general term referring to inflammation or infection of the gastrointestinal tract, primarily the stomach and intestines. ...
Duodenitis is inflammation of the duodenum. ...
Infantile pyloric stenosis is a pediatric condition where there is a congenital narrowing of the pylorus (the opening at the lower end of the stomach). ...
Achlorhydria or hypochlorhydria is decreased production of gastric acid by the stomach. ...
In medicine, gastroptosis is the abnormal downward displacement of the stomach. ...
Gastroparesis, also called delayed gastric emptying, is a disorder in which the stomach takes too long to empty its contents. ...
Look up hernia in Wiktionary, the free dictionary. ...
Inguinal hernias are protrusions of abdominal cavity contents through an area of the abdominal wall, commonly referred to as the groin, and known in anatomic language as the inguinal area or the myopectineal orifice. ...
An indirect inguinal hernia a inguinal hernia which results from the failure of embryonic closure of the internal inguinal ring after the testicle has passed through it. ...
Inguinal hernias are the most common abdominal hernias (about 90%) and are seen most often in men. ...
Femoral hernias occur just below the inguinal ligament, when abdominal contents pass into the weak area at the posterior wall of the femoral canal. ...
Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. ...
This article or section is in need of attention from an expert on the subject. ...
Congenital diaphragmatic hernia (CDH) is a term applied to a variety of congenital birth defects that involve abnormal development of the diaphragm. ...
A hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm. ...
Enteritis is the inflammation of the small intestine (inflammation of the large intestine is termed colitis). ...
Colitis is a digestive disease characterized by inflammation of the colon. ...
In medicine, inflammatory bowel disease (IBD) is a group of inflammatory conditions of the large intestine and, in some cases, the small intestine. ...
Crohns disease (also known as regional enteritis) is a chronic, episodic, inflammatory condition of the gastrointestinal tract characterized by transmural inflammation (affecting the entire wall of the involved bowel) and skip lesions (areas of inflammation with areas of normal lining between). ...
Ulcerative colitis (Colitis ulcerosa, UC) is a form of inflammatory bowel disease (IBD). ...
See also Bacterial gastroenteritis and Diarrhea Gastroenteritis is a general term referring to inflammation or infection of the gastrointestinal tract, primarily the stomach and intestines. ...
Abdominal angina (a. ...
Ileus, formerly called iliac passion, refers to limited or absent intestinal passage. ...
Bowel obstruction is a mechanical blockage of the intestines, preventing the normal transit of the products of digestion. ...
An intussusception is a situation in which a part of the intestine has prolapsed into another section of intestine, similar to the way in which the parts of a collapsible telescope slide into one another. ...
A volvulus is a loop of the bowel whose nose has twisted on itself. ...
Diverticulitis is a common digestive disorder particularly found in the large intestine. ...
Diverticulosis, otherwise known as diverticular disease, is the condition of having diverticula in the large colon which are outpocketings of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall. ...
In gastroenterology, irritable bowel syndrome (IBS) or spastic colon is a functional bowel disorder characterized by abdominal pain and changes in bowel habits which are not associated with any abnormalities seen on routine clinical testing. ...
Constipation or irregularity, is a condition of the digestive system where a person (or animal) experiences hard feces that are difficult to egest; it may be extremely painful, and in severe cases (fecal impaction) lead to symptoms of bowel obstruction. ...
Diarrhea, also spelled diarrhoea (see spelling differences), is a condition in which the sufferer has frequent watery, loose bowel movements (from the Greek word διάÏÏοια; literally meaning through-flowing). Acute infectious diarrhea is a common cause of death in developing countries (particularly among infants), accounting for 5 to 8 million deaths...
Megacolon is an abnormal dilatation of the colon (a part of the large intestines) that is not caused by mechanical obstruction. ...
Toxic megacolon (megacolon toxicum) is a life-threatening complication of other intestinal conditions. ...
The term Proctalgia fugax refers to fleeting rectal pain. ...
An anal fissure is an unnatural crack or tear in the anus skin. ...
An anal abscess is a abscess adjacent to the anus, characterized by extremely painful bowel movements. ...
Rectal prolapse normally describes a medical condition wherein the walls of the rectum protrude through the anus and hence become visible outside the body. ...
Proctitis (Noun) Inflammation of the rectum. ...
Radiation proctitis (and the related radiation colitis) is inflammation and damage to the lower parts of the colon after exposure to x-rays or other ionizing radiation as a part of radiation therapy. ...
For the bird, see Liver bird. ...
Hepatitis (plural hepatitides) implies injury to liver characterised by presence of inflammatory cells in the liver tissue. ...
Liver failure is the final stage of liver disease. ...
Acute liver failure is the appearance of severe complications rapidly after the first signs of liver disease (such as jaundice), and indicates that the liver has sustained severe damage (loss of function of 80-90% of liver cells). ...
Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrotic scar tissue as well as regenerative nodules, leading to progressive loss of liver function. ...
This article or section does not cite its references or sources. ...
Non-alcoholic fatty liver disease (NAFLD) is fatty inflammation of the liver when this is not due to excessive alcohol use. ...
Different stages of liver damage Fatty liver (also known as steatorrhoeic hepatosis or steatosis hepatis) is a reversible condition where large vacuoles of triglyceride fat accumulate in liver cells via the process of steatosis. ...
Peliosis Hepatis is an uncommon vascular condition characterised by randomly distributed multiple blood-filled cavities throughout liver. ...
In medicine, portal hypertension is hypertension (high blood pressure) in the portal vein and its branches. ...
Hepatorenal syndrome (HRS), also called hepatorenal failure, refers to acute renal failure that occurs in the setting of cirrhosis or fulminant liver failure associated with portal hypertension, usually in the absence of other disease of the kidney. ...
The gallbladder (or cholecyst, sometimes gall bladder) is a pear-shaped organ that stores about 50 ml of bile (or gall) until the body needs it for digestion. ...
This article does not cite any references or sources. ...
Choledocholithiasis is the presence of a gallstone in the common bile duct. ...
Cholecystitis is inflammation of the gall bladder. ...
In surgical pathology, strawberry gallbladder, more formally cholesterolosis of the gallbladder and gallbladder cholesterolosis, is a change in the gallbladder wall due to excess cholesterol/cholesterol gallstones. ...
Rokitansky-Aschoff sinuses are diverticula or pockets of the gallbladder They are not of themselves considered abnormal, but they can be associated with cholecystitis. ...
A bile duct is any of a number of long tube-like structures that carry bile. ...
Cholangitis is one of a number of problems associated with the bile duct. ...
In medicine, cholestasis is a condition where bile cannot flow from the liver to the duodenum. ...
Mirizzis syndrome is a rare cause of acquired jaundice. ...
Primary sclerosing cholangitis (PSC) is a form of cholangitis due to an autoimmune reaction. ...
A biliary fistula, a type of fistula where bile leaks from the bile ducts into outside areas, can occur as a complication following biliary trauma, either iatrogenic or a result of a penetrating injury. ...
Cholangitis redirects here. ...
Pancreas (Acute pancreatitis, Chronic pancreatitis, Pancreatic pseudocyst, Hereditary pancreatitis) | | Other/general | Appendicitis - Peritonitis (Spontaneous bacterial peritonitis) Malabsorption (celiac, Tropical sprue, Blind loop syndrome, Whipple's) The pancreas is a gland organ in the digestive and endocrine systems of vertebrates. ...
Acute pancreatitis is rapidly-onset inflammation of the pancreas. ...
Chronic pancreatitis can present as episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain or malabsorption. ...
A pancreatic pseudocyst is a circumscribed collection of pancreatic fluid typically located in the lesser omentum. ...
Hereditary Pancreatitis is a genetic disease affecting enzyme production in the pancreas. ...
Appendicitis (or epityphlitis) is a condition characterized by inflammation of the appendix[1]. While mild cases may resolve without treatment, most require removal of the inflamed appendix, either by laparotomy or laparoscopy. ...
Spontaneous bacterial peritonitis is a form of peritonitis that occurs in patients with cirrhosis. ...
Malabsorption is the state of impaired absorption of nutrients in the small intestine. ...
Coeliac disease or celiac disease is an autoimmune disorder of the small bowel that occurs in genetically predisposed individuals in all age groups after early infancy. ...
Tropical sprue is a malabsorption disease commonly found in the tropical regions, marked with abnormal flattening of the villi and inflammation of the lining of the small intestine. ...
Blind loop syndrome is a medical condition that occures when the intestine is obstructed, slowing or stopping the progress of digested food, and thus facilitating the growth of bacteria to the point that problems in nutrient absorption occur. ...
Whipples disease is a rare disease caused by the bacteria Thropheryma whipplei. ...
postprocedural: Gastric dumping syndrome - Postcholecystectomy syndrome Gastric dumping syndrome, or rapid gastric emptying, happens when the lower end of the small intestine, the jejunum, fills too quickly with undigested food from the stomach. ...
The term Postcholecystectomy syndrome (PCS) describes the presence of abdominal symptoms after surgery to remove the gallbladder (Cholecystectomy). ...
bleeding: Hematemesis - Melena - Gastrointestinal bleeding (Upper, Lower) | | See also congenital | http://www.fistulacure.com This site provide good information about Anal Fistulas and it's treatment. Hematemesis or haematemesis is the vomiting of fresh red blood. ...
In medicine, melena or melaena refers to the black, tarry feces that are associated with gastrointestinal hemorrhage. ...
Gastrointestinal bleeding describes every form of hemorrhage (blood loss) in the gastrointestinal tract, from the pharynx to the rectum. ...
Endoscopic image of a posterior wall duodenal ulcer with a clean base, which is a common cause of upper GI hemorrhage. ...
Lower gastrointestinal bleeding refers to any form of bleeding in the Lower gastrointestinal tract. ...
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