Observational Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2016; 8(7): 513-520
Published online Jul 27, 2016. doi: 10.4240/wjgs.v8.i7.513
Three-dimensional endoanal ultrasound for diagnosis of perianal fistulas: Reliable and objective technique
Marina Garcés-Albir, Stephanie Anne García-Botello, Alejandro Espi, Vicente Pla-Martí, Jose Martin-Arevalo, David Moro-Valdezate, Joaquin Ortega
Marina Garcés-Albir, Joaquín Ortega, Department of General and Digestive Surgery, Hospital Clínico Universitario, 46010 Valencia, Spain
Stephanie Anne García-Botello, Alejandro Espi, Vicente Pla-Martí, Jose Martin-Arevalo, David Moro-Valdezate, Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario, 46010 Valencia, Spain
Author contributions: Garcés-Albir M, García-Botello SA and Espi A contributed to study conception and design; Garcés-Albir M and García-Botello SA contributed to data acquisition, data analysis and interpretation, and writing of article; García-Botello SA is a native English speaker; and all the authors contributed to editing, reviewing and final approval of article.
Institutional review board statement: The study was reviewed and approved by the Hospital Clínico Universitario of Valencia Institutional Review Board.
Informed consent statement: All involved persons (subjects or legally authorized representative) gave their informed consent written prior to study inclusion.
Conflict-of-interest statement: None of the authors has conflict of interest of commercial, personal, political, intellectual, or religious.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at garalma@hotmail.com. Participants gave informed consent for data sharing was not obtained but the presented data are anonymized and no risk of identification.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Marina Garcés-Albir, MD, PhD, Department of General and Digestive Surgery, Hospital Clínico Universitario, Avd. Blasco Ibañez 17, 46010 Valencia, Spain. garalma@hotmail.com
Telephone: +34-96-3862600-51233 Fax: +34-96-3864805
Received: January 28, 2016
Peer-review started: January 29, 2016
First decision: March 9, 2016
Revised: April 3, 2016
Accepted: April 14, 2016
Article in press: April 18, 2016
Published online: July 27, 2016
Core Tip

Core tip: The authors think that this paper provides new information regarding the diagnosis of perianal fistulas with three-dimensional endoanal ultrasound when compared with the results obtained from two-dimensional endoanal ultrasound, physical examination, and examination under anesthesia. This allows us to validate the technique.