Fistulotomy under general anesthesia in infants and toddlers: A retrospective cohort study on perioperative safety and long-term recurrence

doi:10.3748/wjg.121507

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Sep 21, 2026; 32(35): 121507
Published online Sep 21, 2026. doi: 10.3748/wjg.121507

Table 2 Characteristics of fistula of infants and toddlers, n (%)

Characteristic	Overall (n = 675)	Infants (n = 540)	Toddlers (n = 135)	P value
Number of fistulas (n = 1194)				0.085
1	364 (53.9)	296 (54.8)	68 (50.4)
2	163 (24.1)	135 (25.0)	28 (20.7)
≥ 3	148 (21.9)	109 (20.2)	39 (28.9)
Direction of fistulas (lithotomy site)
L1	106 (15.7)	84 (15.6)	22 (16.4)	0.673
L2	53 (7.9)	42 (7.8)	11 (8.2)	0.886
L3	321 (47.6)	256 (47.4)	65 (48.5)	0.877
L4	18 (2.7)	9 (1.7)	9 (6.7)	0.001
L5	93 (13.8)	71 (13.1)	22 (16.4)	0.343
L6	21 (3.1)	14 (2.6)	7 (5.2)	0.121
L7	76 (11.3)	58 (10.7)	18 (13.4)	0.394
L8	15 (2.2)	8 (1.5)	7 (5.2)	0.009
L9	342 (50.7)	276 (51.1)	66 (49.3)	0.644
L10	46 (6.8)	35 (6.5)	11 (8.2)	0.492
L11	89 (13.2)	70 (13.0)	19 (14.2)	0.733
L12	14 (2.1)	13 (2.4)	1 (0.7)	0.323

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Citation: Zhang XC, Ma HF, Zhou ZY, Zhang LN, Kong F, Wang YM, Song XB, Wang Y. Fistulotomy under general anesthesia in infants and toddlers: A retrospective cohort study on perioperative safety and long-term recurrence. World J Gastroenterol 2026; 32(35): 121507
URL: https://www.wjgnet.com/1007-9327/full/v32/i35/121507.htm
DOI: https://dx.doi.org/10.3748/wjg.121507

Zhang XC, Ma HF, Zhou ZY, Zhang LN, Kong F, Wang YM, Song XB, Wang Y. Fistulotomy under general anesthesia in infants and toddlers: A retrospective cohort study on perioperative safety and long-term recurrence. World J Gastroenterol 2026; 32(35): 121507 [DOI: 10.3748/wjg.121507]

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