Histological architecture of the intersphincteric region of the anal canal: implications for the anatomical basis of anal fistula pathways

The intersphincteric region of the anal canal is a structurally complex and compartmentalized anatomical entity. Its heterogeneous histological architecture provides an anatomical substrate that may explain the initiation and directional spread of anal fistulas, including pathways described in classical fistula classifications.

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Publication Details

Journal
International Journal of Colorectal Disease
Published
2026-03-27
DOI
https://doi.org/10.1007/s00384-026-05123-9
Primary Topic
Anorectal Disease Treatments and Outcomes
Type
article
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article

Histological architecture of the intersphincteric region of the anal canal: implications for the anatomical basis of anal fistula pathways

Keiichi Akita, Satoru Muro, Yasuo Nakajima, Akimoto Nimura
International Journal of Colorectal Disease
Anorectal Disease Treatments and Outcomes
article

Histological architecture of the intersphincteric region of the anal canal: implications for the anatomical basis of anal fistula pathways

Keiichi Akita, Satoru Muro, Yasuo Nakajima, Akimoto Nimura
article en

Abstract

The intersphincteric region of the anal canal is a structurally complex and compartmentalized anatomical entity. Its heterogeneous histological architecture provides an anatomical substrate that may explain the initiation and directional spread of anal fistulas, including pathways described in classical fistula classifications.

International Journal of Colorectal DiseaseVol. 41(1)
Tokyo Medical and Dental University (JP), Doai Memorial Hospital (JP), Institute of Science Tokyo (JP)
Openalex Percentile: Top 4%
Anorectal Disease Treatments and Outcomes
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