Anorectal Crohn' s Disease

被引：7

作者：

Truong, Adam ^{[1
]}

Zaghiyan, Karen ^{[1
]}

Fleshner, Phillip ^{[1
]}

机构：

[1] Cedars Sinai Med Ctr, Div Colorectal Surg, 8737 Beverly Blvd,Suite 101, Los Angeles, CA 90048 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2019年 / 99卷 / 06期

关键词：

Anorectal; Anal; Crohn disease; IBD; Flstula; INFLAMMATORY-BOWEL-DISEASE; FISTULA-IN-ANO; PERIANAL FISTULAS; ADVANCEMENT FLAP; ANAL FISTULAS; ENDOANAL ULTRASOUND; NATURAL-HISTORY; MANAGEMENT; CLASSIFICATION; EPIDEMIOLOGY;

D O I：

10.1016/j.suc.2019.08.012

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Medical treatment remains the mainstay of perianal disease management for CD; however, aggressive surgical management should be considered for severe or recurrent disease. In all cases of perianal CD, medical and surgical treatments should be used in tandem by a multidisciplinary team. Significant development has been made in the treatment of Crohn's-related fistulas, particularly minimally invasive options with recent clinical trials showing success with mesenchymal stem cell applications. Inevitably, some patients with severe refractory disease may require fecal diversion or proctectomy. When considering reversal of a diverting or end ileostomy, cessation of proctitis is the most important factor.

引用

页码：1151 / 1162

页数：12

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