Publications by authors named "J Stijns"
Article Synopsis
- Acute and chronic anal fissures are common health issues that lead to significant discomfort and frequent doctor visits; therefore, evidence-based treatment guidelines are crucial.
- A Delphi consensus method was used to review existing literature and create a set of statements regarding the treatment options for anal fissures, finalized by January 2023.
- The guidelines emphasize that both men and women are equally affected, conservative treatments should be tried first, and surgical options like lateral internal sphincterotomy and fissurectomy can be considered if conservative methods fail.
Introduction: Visualising the course of a complex perianal fistula on imaging can be difficult. It has been postulated that three-dimensional (3D) models of perianal fistulas improve understanding of the perianal pathology, contribute to surgical decision-making and might even improve future outcomes of surgical treatment. The aim of the current study is to investigate the accuracy of 3D-printed models of perianal fistulas compared with magnetic resonance imaging (MRI).
View Article and Find Full Text PDFAim: Anal fistula is one of the most common anal diseases, affecting between 1 and 3 per 10 000 people per year. Symptoms have a potentially severe effect on a patient's quality of life. Surgery is the mainstay of treatment, aiming to cure the fistula and preserve anal sphincter function.
View Article and Find Full Text PDFBackground: It is often stated that loose seton drainage results in distal migration of a fistula tract in perianal fistula. The aim of the present study was to assess this distalization of trans- and suprasphincteric perianal fistulas after a silicone seton has been inserted.
Methods: Consecutive patients who underwent loose seton placement for the management of a transsphincteric or suprasphincteric fistula between January 2016 and December 2021 with a pre- and postoperative magnetic resonance imaging (MRI) were included in the present retrospective study.
Aim: The primary aim of the European Society of Coloproctology (ESCP) Guideline Development Group (GDG) was to produce high-quality, evidence-based guidelines for the management of cryptoglandular anal fistula with input from a multidisciplinary group and using transparent, reproducible methodology.
Methods: Previously published methodology in guideline development by the ESCP has been replicated in this project. The guideline development process followed the requirements of the AGREE-S tool kit.