Imaging techniques and combined medical and surgical treatment of perianal Crohn’s disease

被引：6
作者：
Botti F. [1 ,2 ]
Losco A. [3 ]
Viganò C. [4 ]
Oreggia B. [2 ]
Prati M. [2 ]
Contessini Avesani E. [1 ,2 ]
机构：
[1] Dipartimento di Fisiopatologia Medico Chirurgica e dei Trapianti, Università degli Studi di Milano, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan
[2] UOC Chirurgia Generale e d’Urgenza, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan
[3] UO Medicina VI Epatologia e Gastroenterologia, A.O. San Paolo, Milan
[4] UO Medicina Interna, Ospedale S. Famiglia Fatebenefratelli, Erba
来源：
Journal of Ultrasound | 2015年 / 18卷 / 1期
关键词：
Crohn’s disease; Diagnostic imaging in Crohn’s disease; Perianal Crohn’s disease;
D O I：
10.1007/s40477-013-0042-9
中图分类号：
学科分类号：
摘要：
Crohn’s disease is a chronic inflammatory disease which may involve any segment of the gastrointestinal tract, most frequently the terminal ileum, the large intestine, and the perianal region. The symptoms of perianal Crohn’s disease include skin disorders, hemorrhoids, anal ulcers, anorectal stenosis, perianal abscesses and fistulas, rectovaginal fistulas and carcinoma of the perianal region. The perianal manifestations of Crohn’s disease cause great discomfort to the patient and are among the most difficult aspects to treat. Management of perianal disease requires a combination of different imaging modalities and a close cooperation between gastroenterologists and dedicated surgeons. © 2013, Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).
引用
收藏
页码：19 / 35
页数：16
相关论文
共 135 条
[1]  
Sandborn W.J., Fazio V.W., Feagan B.G., Et al., AGA technical review on perianal Crohn’s disease, Gastroenterology, 125, pp. 1508-1530, (2003)
[2]  
Schwartz D.A., Pemberton J.H., Sandborn W.J., Diagnosis and treatment of perianal fistulas in Crohn’s disease, Ann Intern Med, 135, pp. 906-918, (2001)
[3]  
Allan A., Keighley R.B., Management of perianal disease, World J Surg, 12, pp. 198-202, (1988)
[4]  
Hellers G., Bergstrand O., Ewerth S., Et al., Occurrence and outcome after primary treatment of anal fistulae in Crohn’s disease, Gut, 21, pp. 525-527, (1980)
[5]  
Schwartz D.A., Loftus E., Tremaine W., Et al., The natural history of fistulizing Crohn’s disease in Olmsted County, Minnesota, Gastroenterology, 122, pp. 875-880, (2002)
[6]  
Makowiec F., Jehle E.C., Starlinger M., Clinical course of perianal fistulas in Crohn’s disease, Gut, 37, pp. 696-701, (1995)
[7]  
Sands B.E., Anderson F.H., Bernstein C.N., Et al., (2004) Infliximab maintenance therapy for fistulizing Crohn’s disease, N Engl J Med, 350, pp. 876-885, (2004)
[8]  
Parks A.G., Gordon P.H., Hardcastle J.D., A classification of fistula-in-ano, Br J Surg, 63, pp. 1-12, (1976)
[9]  
Wise P.E., Schwartz D.A., The evaluation and treatment of Crohn perianal fistulae: EUA, EUS, MRI, and other imaging modalities, Gastroenterol Clin N Am, 41, pp. 379-391, (2012)
[10]  
Siddiqui M.R.S., Ashrafian H., Tozer P., Et al., A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment, Dis Colon Rectum, 55, pp. 576-585, (2012)
12345678910