Metabolic syndrome in patients with anal fistulae
- Authors: Muhabbatov D.K.1, Gulov M.K.1, Hamroev B.M.1
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Affiliations:
- Abu Ali ibn Sino Tajik State Medical University
- Issue: Vol 26, No 1 (2018)
- Pages: 86-95
- Section: Surgery
- URL: https://journals.rcsi.science/pavlovj/article/view/8753
- DOI: https://doi.org/10.23888/PAVLOVJ201826186-95
- ID: 8753
Cite item
Abstract
Aim of work: to study the incidence of components of metabolic syndrome in patients with anal fistulae, to analyze combinations of different components of metabolic syndrome and types of pararectal fistulae.
Materials and Methods. A clinical examination of 508 patients (85.2% – men; 21.5% at the age of 20-39 years, 43.9% – 40-59 years, 34.6% – ≥60 years) with anal fistulae (of them 48.0% were transsphincteric and 29.3% – extrasphincteric fistulae) who underwent treatment in the department of coloproctology of municipal clinical hospital №5 of Dushanbe in the period from 2010 to 2015, was conducted with the aim of identification of components of metabolic syndrome.
Results. In 282 patients (55.5% of the total number of patients with anal fistulae, 90.8% of them being men) components of metabolic syndrome were identified: obesity – in 229 patients (45.1% of the total patients with anal fistulae), arterial hypertension – in 115 patients (22,6%), type 2 diabetes mellitus – in 58 patients (11.4%), IHD – in 8 patients (1.6%). In the presence of components of metabolic syndrome the recurrent forms of fistulae were recorded in 16.3% of cases (in the absence – in 12.8% of cases), and complicated forms – extrasphincteric (29.3%) predominated over intrasphincteric forms (22.7%); in control group the proportion of the mentioned forms was 24.8% and 29.2%, respectively. Transsphincteric forms were most common in both groups (48.0% and 46.0%).
Conclusions. Components of metabolic syndrome in different combinations were identified in more than half (55.5%) the patients with anal fistulae (obesity – 45.1%, arterial hypertension – 22.6%, 2 type diabetes mellitus – 11.4%, IHD – 1.6%). A tendency was recorded to a more common recurrence of anal fistulae and to a more complicated forms of anal fistulae in patients with components of metabolic syndrome.
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##article.viewOnOriginalSite##About the authors
D. K. Muhabbatov
Abu Ali ibn Sino Tajik State Medical University
Author for correspondence.
Email: Mukhabbatov67@mail.ru
ORCID iD: 0000-0002-2100-310X
SPIN-code: 8407-5820
Dr. Med. Sc., professor, Head of the Department of General Surgery №1
Tajikistan, Rudaki av., 139, Dushanbe, 734003M. K. Gulov
Abu Ali ibn Sino Tajik State Medical University
Email: Mukhabbatov67@mail.ru
ORCID iD: 0000-0001-5151-937X
SPIN-code: 5463-6781
Dr. Med. Sc., professor of the Department of General Surgery №1
Tajikistan, Rudaki av., 139, Dushanbe, 734003B. M. Hamroev
Abu Ali ibn Sino Tajik State Medical University
Email: Mukhabbatov67@mail.ru
ORCID iD: 0000-0003-4879-2337
SPIN-code: 9107-4315
postgraduate student of the Department of General Surgery №1
Tajikistan, Rudaki av., 139, Dushanbe, 734003References
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