Perianal fistula a silent epidemic that face proctology and coloproctology in public health

Abstract

Health problems of the upper and lower digestive system affect the quality of life of the population. They are complications derived from the evolution of chronic disorders. On this topic, there is a lot of resistance from the population to reveal details about the topic, which is why there is no true statistical record. Perianal fistula and the development of abscesses are pathological processes whose surgical treatment causes more difficulties for specialists, given the high frequency, not only of postoperative complications, but also of recurrences and the risk of incontinence.  An important factor to consider is the population's lack of knowledge about which specialist to go to, in addition to the deficit of these professionals in the public health sector in Ecuador.
Objective: Recognize the importance of increasing specialists in proctology and coloproctology, to treat perianal abscesses and fistulas, through the analysis of information obtained from bibliographic sources to improve the health and quality of life of patients.
Methodology: A qualitative descriptive, bibliographic study of reliable scientific sources from the Medline, Scielo, Redalyc, and Google Scholar databases. Material from 70 sources, and finally 29 articles, related to the research topic. 
Conclusion: It is necessary to promote the development of new specialists such as proctologists and coloproctologists who contribute to decongesting the great demand for care aimed at the health specialty, in addition to promoting prevention programs inducing citizens towards the development of healthy habits and a better style of life.