Back
Full-text
Journal article

Fistulizing Crohn's disease: Diagnosis and management.

  • Gecse K Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands ; Robarts Clinical Trials, Amsterdam, the Netherlands.
  • Khanna R Robarts Clinical Trials, London, ON, Canada.
  • Stoker J Department of Radiology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
  • Jenkins JT Department of Surgery, St. Mark's Hospital, Harrow, London, UK.
  • Gabe S The Lennard-Jones Intestinal Failure Unit, St. Mark's Hospital, Harrow, London, UK.
  • Hahnloser D Department of Visceral Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
  • D'Haens G Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands ; Robarts Clinical Trials, Amsterdam, the Netherlands.
Show more…
  • 2014-06-12
Published in:
  • United European gastroenterology journal. - 2013
Crohn’s disease
anti-TNF therapy
enterocutaneous fistula
inflammatory bowel disease
perianal fistula
English Fistulizing Crohn's disease represents an evolving, yet unresolved, issue for multidisciplinary management. Perianal fistulas are the most frequent findings in fistulizing Crohn's disease. While enterocutaneous fistulas are rare, they are associated with considerable morbidity and mortality. Detailed evaluation of the fistula tract by advanced imaging techniques is required to determine the most suitable management options. The fundamentals of perianal fistula management are to evaluate the complexity of the fistula tract, and exclude proctitis and associated abscess. The main goals of the treatment are abscess drainage, which is mandatory, before initiating immunosuppressive medical therapy, resolution of fistula discharge, preservation of continence and, in the long term, avoidance of proctectomy with permanent stoma. The management of enterocutaneous fistulas comprises of sepsis control, skin care, nutritional optimization and, if needed, delayed surgery.
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/46012
Statistics
Document views: 12 File downloads:
  • fulltext.pdf: 0