The British journal of surgery
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Historical Article Classical Article
Surgeons, insurgents and the lost Caravaggio
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Review Meta Analysis
Meta-analysis of the association between peripheral artery disease and growth of abdominal aortic aneurysms.
The role of atherosclerosis in the pathogenesis of abdominal aortic aneurysm (AAA) is controversial. Atherosclerosis-associated peripheral artery disease (PAD) has been reported to be a risk factor for AAA in population screening studies; its relationship with AAA growth is controversial. ⋯ This systematic review suggests that currently reported studies demonstrate no robust and consistent association between PAD and reduced AAA growth.
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Progression from anorectal abscess to fistula is poorly described and it remains unclear which patients develop a fistula following an abscess. The aim was to assess the burden of anorectal abscess and to identify risk factors for subsequent fistula formation. ⋯ The burden of anorectal sepsis is high, with subsequent fistula formation nearly three times more common in Crohn's disease than idiopathic disease, and female sex is an independent predictor of fistula formation following abscess drainage. Most fistulas form within the first year of presentation with an abscess.