Anal fistulas are a common manifestation of Crohn's disease (CD). The first manifestation of the disease is often in the peri-anal region, which can occur years before a diagnosis, particularly in CD affecting the colon and rectum. The treatment of peri-anal fistulas is difficult and always multidisciplinary. The European guidelines recommend combined surgical and medical treatment with biologic drugs to achieve best results. Several different surgical techniques are currently employed. However, at the moment, none of these techniques appear superior to the others in terms of healing rate. Surgery is always indicated to treat symptomatic, simple, low intersphincteric fistulas refractory to medical therapy and those causing disabling symptoms. Utmost attention should be paid to correcting the balance between eradication of the fistula and the preservation of fecal continence. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

Sica, G., DI CARLO, S., Tema, G., Montagnese, F., DEL VECCHIO BLANCO, G., Fiaschetti, V., et al. (2014). Treatment of peri-anal fistula in Crohn's disease. WORLD JOURNAL OF GASTROENTEROLOGY, 20(37), 13205-13210 [10.3748/wjg.v20.i37.13205].

Treatment of peri-anal fistula in Crohn's disease

SICA, GIUSEPPE;DI CARLO , SARA;DEL VECCHIO BLANCO, GIOVANNA;FIASCHETTI, VALERIA;BIANCONE, LIVIA
2014-01-01

Abstract

Anal fistulas are a common manifestation of Crohn's disease (CD). The first manifestation of the disease is often in the peri-anal region, which can occur years before a diagnosis, particularly in CD affecting the colon and rectum. The treatment of peri-anal fistulas is difficult and always multidisciplinary. The European guidelines recommend combined surgical and medical treatment with biologic drugs to achieve best results. Several different surgical techniques are currently employed. However, at the moment, none of these techniques appear superior to the others in terms of healing rate. Surgery is always indicated to treat symptomatic, simple, low intersphincteric fistulas refractory to medical therapy and those causing disabling symptoms. Utmost attention should be paid to correcting the balance between eradication of the fistula and the preservation of fecal continence. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
2014
Pubblicato
Rilevanza internazionale
Articolo
Nessuno
Settore MED/18 - CHIRURGIA GENERALE
Settore MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA
Settore MED/12 - GASTROENTEROLOGIA
English
Con Impact Factor ISI
Sica, G., DI CARLO, S., Tema, G., Montagnese, F., DEL VECCHIO BLANCO, G., Fiaschetti, V., et al. (2014). Treatment of peri-anal fistula in Crohn's disease. WORLD JOURNAL OF GASTROENTEROLOGY, 20(37), 13205-13210 [10.3748/wjg.v20.i37.13205].
Sica, G; DI CARLO, S; Tema, G; Montagnese, F; DEL VECCHIO BLANCO, G; Fiaschetti, V; Maggi, G; Biancone, L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/95489
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