{"id":"https://openalex.org/W2107404696","doi":"https://doi.org/10.1002/bjs.1800820509","title":"Clinical course after transanal advancement flap repair of perianal fistula in patients with Crohn's disease","display_name":"Clinical course after transanal advancement flap repair of perianal fistula in patients with Crohn's disease","publication_year":1995,"publication_date":"1995-05-01","ids":{"openalex":"https://openalex.org/W2107404696","doi":"https://doi.org/10.1002/bjs.1800820509","mag":"2107404696","pmid":"https://pubmed.ncbi.nlm.nih.gov/7613925"},"language":"en","primary_location":{"id":"doi:10.1002/bjs.1800820509","doi":"https://doi.org/10.1002/bjs.1800820509","is_oa":false,"landing_page_url":"https://doi.org/10.1002/bjs.1800820509","pdf_url":null,"source":{"id":"https://openalex.org/S61740008","display_name":"British journal of surgery","issn_l":"0007-1323","issn":["0007-1323","1365-2168"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of British Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078399770","display_name":"Frank Makowiec","orcid":"https://orcid.org/0000-0003-0012-3775","observed_orcids":["https://orcid.org/0000-0003-0012-3775"]},"institutions":[{"id":"https://openalex.org/I8087733","display_name":"University of T\u00fcbingen","ror":"https://ror.org/03a1kwz48","country_code":"DE","type":"education","lineage":["https://openalex.org/I8087733"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"F Makowiec","raw_affiliation_strings":["Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,","institution_ids":["https://openalex.org/I8087733"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113651663","display_name":"E. C. Jehle","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I8087733","display_name":"University of T\u00fcbingen","ror":"https://ror.org/03a1kwz48","country_code":"DE","type":"education","lineage":["https://openalex.org/I8087733"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"E C Jehle","raw_affiliation_strings":["Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,","institution_ids":["https://openalex.org/I8087733"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112289372","display_name":"H. Dieter Becker","orcid":"https://orcid.org/0000-0002-4102-7520","observed_orcids":["https://orcid.org/0000-0002-4102-7520"]},"institutions":[{"id":"https://openalex.org/I8087733","display_name":"University of T\u00fcbingen","ror":"https://ror.org/03a1kwz48","country_code":"DE","type":"education","lineage":["https://openalex.org/I8087733"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"H D Becker","raw_affiliation_strings":["Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,","institution_ids":["https://openalex.org/I8087733"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114245881","display_name":"Michael J. Starlinger","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I8087733","display_name":"University of T\u00fcbingen","ror":"https://ror.org/03a1kwz48","country_code":"DE","type":"education","lineage":["https://openalex.org/I8087733"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"M Starlinger","raw_affiliation_strings":["Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of T\u00fcbingen , T\u00fcbingen,","institution_ids":["https://openalex.org/I8087733"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5114245881"],"corresponding_institution_ids":["https://openalex.org/I8087733"],"apc_list":{"value":3797,"currency":"GBP","value_usd":5007},"apc_paid":null,"fwci":4.1569,"has_fulltext":false,"cited_by_count":155,"citation_normalized_percentile":{"value":0.94210001,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"82","issue":"5","first_page":"603","last_page":"606"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10134","display_name":"Inflammatory Bowel Disease","score":0.01489999983459711,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12518","display_name":"Diverticular Disease and Complications","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anal-fistula","display_name":"anal fistula","score":0.9129999876022339},{"id":"https://openalex.org/keywords/crohn-s-disease","display_name":"Crohn's disease","score":0.9900000095367432},{"id":"https://openalex.org/keywords/rectal-advancement-flap","display_name":"rectal advancement flap","score":0.8980000019073486},{"id":"https://openalex.org/keywords/fistula-repair","display_name":"fistula repair","score":0.7369999885559082},{"id":"https://openalex.org/keywords/fistula-recurrence","display_name":"fistula recurrence","score":0.9089999794960022},{"id":"https://openalex.org/keywords/anovaginal-fistula","display_name":"anovaginal fistula","score":0.9259999990463257},{"id":"https://openalex.org/keywords/transsphincteric-fistula","display_name":"transsphincteric fistula","score":0.9340000152587891},{"id":"https://openalex.org/keywords/crohn-s-colitis","display_name":"Crohn's colitis","score":0.9829999804496765},{"id":"https://openalex.org/keywords/fecal-diversion","display_name":"fecal diversion","score":0.8209999799728394},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.640999972820282},{"id":"https://openalex.org/keywords/fecal-incontinence","display_name":"fecal incontinence","score":0.6660000085830688}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.987418532371521},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6558618545532227},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.6072961091995239},{"id":"https://openalex.org/C2779280984","wikidata":"https://www.wikidata.org/wiki/Q1472","display_name":"Crohn's disease","level":3,"score":0.5280333757400513},{"id":"https://openalex.org/C2909309622","wikidata":"https://www.wikidata.org/wiki/Q484765","display_name":"Rectal fistula","level":3,"score":0.5223732590675354},{"id":"https://openalex.org/C2777887063","wikidata":"https://www.wikidata.org/wiki/Q5455363","display_name":"Fistulotomy","level":4,"score":0.5039731860160828},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.41301190853118896},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3752225637435913},{"id":"https://openalex.org/C2776929390","wikidata":"https://www.wikidata.org/wiki/Q484765","display_name":"Anal fistula","level":3,"score":0.23784306645393372},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10458138585090637}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012003","descriptor_name":"Rectal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013524","descriptor_name":"Surgical Flaps","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013524","descriptor_name":"Surgical Flaps","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013524","descriptor_name":"Surgical Flaps","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D014624","descriptor_name":"Vaginal Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D014945","descriptor_name":"Wound Healing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014945","descriptor_name":"Wound Healing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014945","descriptor_name":"Wound Healing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1002/bjs.1800820509","doi":"https://doi.org/10.1002/bjs.1800820509","is_oa":false,"landing_page_url":"https://doi.org/10.1002/bjs.1800820509","pdf_url":null,"source":{"id":"https://openalex.org/S61740008","display_name":"British journal of surgery","issn_l":"0007-1323","issn":["0007-1323","1365-2168"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of British Surgery","raw_type":"journal-article"},{"id":"pmid:7613925","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7613925","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.7699999809265137,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W79044436","https://openalex.org/W114383488","https://openalex.org/W1974013473","https://openalex.org/W1986040036","https://openalex.org/W1991158789","https://openalex.org/W2007556416","https://openalex.org/W2026903193","https://openalex.org/W2044685871","https://openalex.org/W2045027430","https://openalex.org/W2062735762","https://openalex.org/W2063845870","https://openalex.org/W2066992797","https://openalex.org/W2080499043","https://openalex.org/W2337853401","https://openalex.org/W2410144338"],"related_works":["https://openalex.org/W2998469671","https://openalex.org/W1864157900","https://openalex.org/W3046308920","https://openalex.org/W2046875967","https://openalex.org/W3013421233","https://openalex.org/W2144053540","https://openalex.org/W3084793418","https://openalex.org/W2936769909","https://openalex.org/W2096514273","https://openalex.org/W4207038457"],"abstract_inverted_index":{"A":[0],"total":[1],"of":[2,32,43,58,74,109,143],"36":[3,59],"rectal":[4,46,118],"advancement":[5,119],"flap":[6,120],"repairs":[7,60],"were":[8,18,26],"performed":[9],"in":[10,68,82,91,113,127,150],"32":[11],"patients":[12,70,92,129,151],"with":[13,93,103,130,152],"perianal":[14,125],"Crohn's":[15,97,131,135],"disease.":[16],"There":[17],"12":[19],"anovaginal":[20,94,153],"and":[21,50,77],"20":[22],"trans-sphincteric":[23],"fistulas.":[24],"Patients":[25],"followed":[27],"prospectively":[28],"for":[29],"a":[30,72,78],"mean":[31],"19.5":[33],"months":[34],"to":[35],"evaluate":[36],"postoperative":[37],"recurrence":[38,54,87],"rate.":[39],"The":[40,85],"prognostic":[41],"influence":[42],"fistula":[44,66,80,86,95],"type,":[45],"disease,":[47,132],"intestinal":[48],"disease":[49,104],"faecal":[51],"diversion":[52],"on":[53],"was":[55,89,111],"assessed.":[56],"Four":[57],"showed":[61],"primary":[62],"failure,":[63],"the":[64],"operated":[65],"recurred":[67],"11":[69],"after":[71],"median":[73],"7":[75],"months,":[76],"new":[79],"developed":[81],"six":[83],"patients.":[84],"rate":[88],"higher":[90],"or":[96],"colitis":[98,136],"but":[99],"did":[100],"not":[101,123],"correlate":[102],"activity.":[105],"Transitory":[106],"mild":[107],"incontinence":[108],"stool":[110],"observed":[112],"one":[114],"patient":[115],"only.":[116],"Although":[117],"repair":[121],"does":[122],"cure":[124],"fistulas":[126],"most":[128],"those":[133],"without":[134],"may":[137],"have":[138],"long-term":[139],"benefit.":[140],"Short-term":[141],"improvement":[142],"symptoms":[144],"justifies":[145],"this":[146],"simple":[147],"procedure":[148],"even":[149],"fistula.":[154]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
