Dango, Sebastian

[["dc.bibliographiccitation.firstpage","227"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Minimally Invasive Therapy & Allied Technologies"],["dc.bibliographiccitation.lastpage","231"],["dc.bibliographiccitation.volume","26"],["dc.contributor.author","Dango, Sebastian"],["dc.contributor.author","Antonakis, Fillimon"],["dc.contributor.author","Schrader, Dirk"],["dc.contributor.author","Radzikhovskiy, Arkadiy"],["dc.contributor.author","Ghadimi, Michael B."],["dc.contributor.author","Hesterberg, Rudolf"],["dc.date.accessioned","2018-11-07T10:28:31Z"],["dc.date.available","2018-11-07T10:28:31Z"],["dc.date.issued","2017"],["dc.description.abstract","Introduction: Treatment failure of anal fistula results in high re-occurrence rate. Material and methods: Efficacy and safety of a nitinol closure clip system (bear-claw clip) were evaluated for anal fistulae treatment in a 36-month long-term follow-up study. Results: Twenty-two patients were included. No patient had been treated with a bear-claw clip system before. All patients were fully continent before treatment. Follow-up time was 36 months (range 19-48 months). We observed a re-occurrence rate of 41% (nine patients) with presence of an active fistula. Time to recurrence was on average 6.9 months (range 3-11 months). Thirteen patients (59%) showed a complete healing of the fistula. Placed clip was removed in all patients on average after almost 5.8 months (3-12 months), in three cases the clip was left in situ. We did not observe any incontinence; one patient reported recurrent burning after defecation once the clip system was removed. Discussions: Clip placement is a minimally invasive sphincter-preserving procedure with minimal complications and with an acceptable recurrence rate in the long term. However, bear-claw clip placement should probably be offered patients as a treatment option before more invasive procedures with higher perioperative morbidity are taken into consideration."],["dc.identifier.doi","10.1080/13645706.2017.1282521"],["dc.identifier.isi","000404934300006"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/43438"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.publisher","Taylor & Francis Ltd"],["dc.relation.issn","1365-2931"],["dc.relation.issn","1364-5706"],["dc.title","Long-term efficacy and safety of a nitinol closure clip system for anal fistula treatment"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]