<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992014000400218</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula anal, experiencia de 5 años en el Servicio de Coloproctología del Hospital General de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Anal Fistula, a Five-Year Experience in the Service of Coloproctology Department in the Hospital General, Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jarquín Vásquez]]></surname>
<given-names><![CDATA[Debora]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarrete Cruces]]></surname>
<given-names><![CDATA[Teresita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Bobadilla]]></surname>
<given-names><![CDATA[Billy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños Badillo]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Servicio de Cirugía General Unidad de Coloproctología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<fpage>218</fpage>
<lpage>224</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000400218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000400218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000400218&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Introducción: Se defi ne fístula anal como la comunicación anormal entre el conducto anorrectal y la piel y es un proceso infeccioso crónico que en su fase aguda forma un absceso anal. La mayoría de las fístulas anales tienen un origen criptoglandu- lar. Después de un absceso anorrectal, el 7-40% de los casos evolucionan a una fase crónica manifi esta por fístula anal. Las fístulas se clasifican en simples y complejas. Las sim- ples se definen como trayectos interesfi nterianos o transes- fi nterianos en los que se identifi ca el orifi cio interno, por debajo del anillo anorrectal. Material y metodos: Se revisaron los expedientes de pacientes en el periodo de enero de 2008 a diciembre del 2012; se incluyó a todos los pacientes que acudieron por primera vez a consulta en nuestro servicio y contaban con diagnóstico inicial de fístula anal, y se descartó a los pacientes con diagnóstico de fístula anal recurrente. Los datos se incluyeron en una base de datos con el fi n de aplicar pruebas estadísticas. Resultados: Se revisaron 871 expedientes; el 87.72% (n = 764) eran varones y el 12.28% (n = 107), mujeres (relación varones:mujeres, 7:1). El promedio de edad era 43.02 ± 11.76 (17-95) años. Los pacientes operados fueron 544. Se observó que más del 56% de los trayectos fi stulosos fueron interesfi nterianos, el tipo de fístula más común, seguidos del transesfi nteriano (el 33.7%; el 23% transesfi nterianas altas y el 10.7%, bajas). Conclusiones: La fístula anal es un padecimiento frecuente en la consulta de coloproctología. Es más frecuente en varones con un promedio de edad de 43 años. La fístula encontrada con mayor frecuencia es la interesfi nteriana, seguida de la transesfi nteriana alta, coincidiendo con otros reportes de la literatura internacional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Anal fi stula as abnormal communication between the anorectal canal and the skin is defi ned and is a phase in an anal abscess acute chronic infectious process. Most have anal fi stulas lar criptoglandu- origin. After an anorectal abscess, 7-40% of cases progress to a chronic phase manifests anal fi stula. Fistulas are classifi ed into simple and complex. The sim- ple are defi ned as intersphincteric fi nterianos journeys or transesterifi cation in which the inner hole is identifi ed, below the anorectal ring. Material and methods: Records of all patients who attended the Consultation of Coloproctology Clinic in the period between 1 January 2008 and 31 December 2012 were reviewed. All patients who were seen for the fi rst time and had an initial diagnosis of anal fi stula, were included, discarding those patients diagnosed with recurrent anal fi stula. The data were collected in a database in order to perform statistical tests. Results: A total of 871 records were reviewed, of which 87.72 % (n = 764 ) were male and 12.28 % (n = 107) female, with a male-female ratio of 7:1. The mean age was 43.02 years ± 11.76, with an age range of 17-95 years. The number of patients operated on was 544. It was noted that the most common types of fistula were inter-sphincter (over 56%), followed by transsphincter with 33.7 % (23 % upper transsphincteric and 10.7 % lower transsphincteric). Conclusions: Anal fistula is a common condition in the Coloproctology Clinic in a tertiary hospital. It is more common in men, with a mean age of 43 years. The fi stula seen more often is the inter-sphincteric fi stula, followed by upper transsphincteric. Our results are similar to those found in the international literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fistula anal]]></kwd>
<kwd lng="es"><![CDATA[Transesfinteriana]]></kwd>
<kwd lng="es"><![CDATA[Fistulotomía]]></kwd>
<kwd lng="en"><![CDATA[Anal fistula]]></kwd>
<kwd lng="en"><![CDATA[Transsphincteric]]></kwd>
<kwd lng="en"><![CDATA[Fistulotomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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