Is Primary Opening of Fistula-in-Ano Always at Dentate Line: Correlation Between MRI and Operative Findings in 379 Patients

Unlike commonly presumed, the primary opening is located at the dentate line in only two-thirds (64.8%) anal fistulas. In 22.9% it was located above the dentate line and in 12.2%, below the dentate line. This is the first study in which the level of primary opening has been systematically analyzed.

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Journal
Clinical and Experimental Gastroenterology
Published
2025-05-01
DOI
https://doi.org/10.2147/ceg.s515522
Primary Topic
Anorectal Disease Treatments and Outcomes
Type
article
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article

Is Primary Opening of Fistula-in-Ano Always at Dentate Line: Correlation Between MRI and Operative Findings in 379 Patients

Baljit Kaur, Vincent de Parades, Gabriele Naldini, Kaushik Bhattacharya et al.
Clinical and Experimental Gastroenterology
Anorectal Disease Treatments and Outcomes
article

Is Primary Opening of Fistula-in-Ano Always at Dentate Line: Correlation Between MRI and Operative Findings in 379 Patients

Baljit Kaur, Vincent de Parades, Gabriele Naldini, Kaushik Bhattacharya, Pankaj Garg, Vipul D. Yagnik, Petr Tsarkov, Mahak Garg
article en

Abstract

Unlike commonly presumed, the primary opening is located at the dentate line in only two-thirds (64.8%) anal fistulas. In 22.9% it was located above the dentate line and in 12.2%, below the dentate line. This is the first study in which the level of primary opening has been systematically analyzed.

Clinical and Experimental GastroenterologyVol. Volume 18
University of Pisa (IT), Sechenov University (RU), Care Institute of Medical Sciences (IN), Fistulacure (IN), MVJ Medical College and Research Hospital (IN), Hôpital Paris Saint-Joseph (FR), Punjab Engineering College (IN)
Zero hunger
Openalex Percentile: Top 78%
Anorectal Disease Treatments and Outcomes
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Is Primary Opening of Fistula-in-Ano Always at Dentate Line: Correlation Between MRI and Operative Findings in 379 Patients — Baljit Kaur, Vincent de Parades, et al. · Clinical and Experimental Gastroenterology (2025) | TGRS Research Map | TGRS