Fecal diversion in complex anal fistulas: Is there a way to avoid it?

Table 1 LOOP concept

	LOOP concept
L	Liquid diet with no fiber	Clear fluids (with zero fiber) like juices, coconut water, clear soups with butter, soft drinks, glucose water, tea, coffee, etc.
O	Oral rehydration solution	The electrolytes (sodium, potassium, chloride etc.) are taken care by this
O	Oral vitamins and protein powder supplements	The proteins are given at 1 gm/kg body weight/d by oral protein powder supplement
P	Phosphate enema at the start of the treatment	Enema (whichever preferred by the patient) is given on the first day of the treatment so as to evacuate the rectum and clear the bowels. Otherwise, the residual stool in the rectum can harden and can cause problems later