Treatment of Fistulizing Inflammatory Bowel Disease

被引:9
作者
Schwartz, David A. [1 ]
Maltz, Brad E. [2 ]
机构
[1] Vanderbilt Univ, Med Ctr, Div Gastroenterol, Nashville, TN 37232 USA
[2] 1600 Vanderbilt Clin, Nashville, TN 37232 USA
关键词
Fistula; Inflammatory bowel disease; Crohn disease; Biologic agents; Anti-TNF; Perianal; Abscess; Treatment; FISTULAS-IN-ANO; PERINEAL CROHNS-DISEASE; LONG-TERM; ANAL FISTULAS; RECTOVAGINAL FISTULAS; ENDOSCOPIC ULTRASOUND; INFLIXIMAB TREATMENT; COMPUTED-TOMOGRAPHY; SURGICAL-TREATMENT; PERIANAL FISTULAS;
D O I
10.1016/j.gtc.2009.07.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Fistulas manifest frequently in Crohn disease and can result in significant morbidity and often lead to the need for surgical intervention. Historically, it has been more difficult to obtain complete fistula closure in patients with perianal Crohn disease. Anti-tumor necrosis factor-alpha agents and the use of more accurate imaging modalities such as magnetic resonance imaging and rectal endoscopic ultrasound have enhanced the ability to manage fistulizing Crohn disease. A combined medical and surgical approach usually presents the best option for most patients.
引用
收藏
页码:595 / +
页数:17
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