The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin

Autores de IIS La Fe

• Álvaro García-Granero García-Fuster

  Autor

• Pablo Granero Castro

  Autor

• 

  Matteo Frasson

  Autor

• Blas Flor Lorente

  Autor

• Omar Carreño Saenz

  Autor

• Eduardo García-Granero Ximénez

  Autor

Grupos

• Enfermedad Inflamatoria Intestinal

Abstract

Aim This technical note describes the use of an endostapler for the definitive treatment of supralevator abscess upward from an intersphincteric origin. Method A two-stage treatment was performed. First an endoanal drainage was performed by inserting a mushroom catheter in the supralevator abscess cavity. In the second stage transanal unroofing of the fistula was performed with an endostapler. Results Since 2011, three patients have been treated in this way. After 2 years of follow up, none of the patients had recurrence of the abscess or been referred for anal incontinence. Conclusion The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin may be an alternative to decrease the risk of recurrence and incontinence.

Keywords

• Anal abscess; supralevator abscess; endostapler; Crohn's disease