[Surgical treatment of anal fistulas in Crohn's disease].

Abstract

The treatment of transsphincteric anal fistulas in Crohn's disease is a balance between the elimination of the sepsis and the functional outcome. Loose setons can be used as a preoperative drainage or chronic treatment. Fibrin glue and the anal fistula plug are methods with excellent functional outcomes, but the success rate varies. The endorectal advancement flap is considered to be the gold standard. Ligation of the intersphincteric fistula tract is promising. Proctectomy or proctocolectomy in combination with transposition flaps may be necessary. A success rate of 66-70% has been reported.

• Authors: Tina Heyckendorff-Diebold, Yasuko Maeda, Steen Buntzen, Lilli Lundby
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 174 Issue 38 Pg. 2219-22 (Sep 17 2012) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Kirurgisk behandling af anale fistler ved Crohns sygdom.
• PMID: 22992478 (Publication Type: English Abstract, Journal Article)

Chemical References

• Fibrin Tissue Adhesive
• Collagen

Topics

• Anastomosis, Surgical (methods)
• Collagen (therapeutic use)
• Crohn Disease (complications, pathology, surgery, therapy)
• Digestive System Surgical Procedures (methods)
• Drainage (methods)
• Fibrin Tissue Adhesive (therapeutic use)
• Humans
• Ligation
• Prosthesis Implantation
• Rectal Fistula (etiology, pathology, surgery, therapy)
• Surgical Flaps
• Suture Techniques