The Pouch Corner: Perianal Fistulas and Ileal Pouches: Examining Fistulas Before and After Pouch Creation

被引：0
作者：
Schwartzberg, David M. [1 ]
Kayal, Maia [2 ]
Barnes, Edward L. [3 ,4 ,5 ]
机构：
[1] Northwell Hlth, Ctr Adv Inflammatory Bowel Dis, 2000 Marcus Ave,Suite 300, New Hyde Pk, NY 11042 USA
[2] Icahn Sch Med Mt Sinai, Div Gastroenterol, New York, NY USA
[3] Univ North Carolina Chapel Hill, Div Gastroenterol & Hepatol, Chapel Hill, NC USA
[4] Univ North Carolina Chapel Hill, Multidisciplinary Ctr Inflammatory Bowel Dis, Chapel Hill, NC USA
[5] Univ North Carolina Chapel Hill, Ctr Gastrointestinal Biol & Dis, Chapel Hill, NC USA
来源：
INFLAMMATORY BOWEL DISEASES | 2024年 / 31卷 / 01期
基金：
美国国家卫生研究院;
关键词：
IPAA; Crohn's disease; ulcerative colitis; perianal fistula; pouch fistula; complex fistula; ANAL ANASTOMOSIS; CROHNS-DISEASE; MANAGEMENT; IPAA; OUTCOMES; ABSCESS; LEAK;
D O I：
10.1093/ibd/izae205
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Patients with ulcerative colitis (UC) and Crohn's disease (CD) proctocolitis are candidates for an ileal pouch-anal anastomosis (IPAA), provided they do not suffer from complex perianal fistulas or small bowel inflammation. UC patients who develop a simple perianal fistula may still be candidates for an IPAA; however, patients with complex perianal fistulas are precluded from having an ileal pouch. After an IPAA, patients may develop perianal fistulas that arise acutely from a technical complication or an anastomotic leak, or as late-onset fistulas as a result of CD-like inflammation of the pouch.
引用
收藏
页码：304 / 307
页数：4
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