ESGAR consensus statement on the imaging of fistula-in-ano and other causes of anal sepsis.
Eur Radiol
; 30(9): 4734-4740, 2020 Sep.
Article
in En
| MEDLINE
| ID: mdl-32307564
ABSTRACT
OBJECTIVES:
To develop imaging guidelines for patients with fistula-in-ano and other causes of anal sepsis.METHODS:
An expert group of 13 members of the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) used a modified Delphi process to vote on a series of consensus statements relating to the imaging of patients with potential anal sepsis. Participants first completed a questionnaire to gather practice information and to help frame the statements posed.RESULTS:
In the first round of voting, the expert group scored 51 statements of which 45 (88%) achieved immediate consensus. The remaining 6 statements were redrafted following input from the expert group and consensus achieved for all during a second round of voting, including an additional statement drafted. No statement was rejected due to a lack of consensus. After redrafting to improve clarity, 53 individual statements were presented.CONCLUSION:
These expert consensus statements can be used to guide appropriate indication, acquisition, interpretation and reporting of medical imaging for patients with potential fistula-in-ano and other causes of anal sepsis. KEY POINTS ⢠Medical imaging, notably magnetic resonance imaging, is used widely for the diagnosis and monitoring of fistula-in-ano and other causes of anal and perianal sepsis. ⢠While the indexed medical literature is clear that diagnostic accuracy is potentially excellent, this depends on competent image acquisition and interpretation. ⢠In order to facilitate this, the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) has produced expert consensus guidelines regarding the imaging of fistula-in-ano and related conditions.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anus Diseases
/
Rectal Fistula
/
Sepsis
Type of study:
Etiology_studies
/
Guideline
/
Qualitative_research
Limits:
Humans
Language:
En
Journal:
Eur Radiol
Journal subject:
RADIOLOGIA
Year:
2020
Document type:
Article
Affiliation country:
United kingdom