Perianal fistulas in Crohn's disease : Treatment results at an interdisciplinary unit;Perianale Crohn-Fisteln : Ergebnisse der Behandlung in einer interdisziplinären Sprechstunde

Chirurg

Volumn 80, Issue 6, 2009, Pages 549-558

  Iesalnieks, I ^a   Glass H ^a   Kilger, A ^a   Ott, C ^a   Klebl, F ^a   Agha, A ^a   Schlitt, H J ^a   Strauch, U ^a  

^a UNIVERSITY HOSPITAL REGENSBURG   (Germany)

Author keywords

Crohn's disease; Fistula types; Immunomodulation; Interdisciplinary treatment; Perianal fistulas; Surgery

Indexed keywords

ANTIINFECTIVE AGENT; ANTIINFLAMMATORY AGENT; AZATHIOPRINE; IMMUNOSUPPRESSIVE AGENT; INFLIXIMAB; METRONIDAZOLE; MONOCLONAL ANTIBODY;

ABSCESS; ADOLESCENT; ADULT; ARTICLE; CLASSIFICATION; CROHN DISEASE; DRUG COMBINATION; FEMALE; FOLLOW UP; HUMAN; ILEOSTOMY; INTERDISCIPLINARY COMMUNICATION; MALE; METHODOLOGY; MIDDLE AGED; PATIENT CARE; PLASTIC SURGERY; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; RECTOVAGINAL FISTULA; RECTUM; RECTUM FISTULA; REOPERATION; TREATMENT OUTCOME; WOUND DRAINAGE;

ABSCESS; ADOLESCENT; ADULT; ANTI-INFECTIVE AGENTS; ANTI-INFLAMMATORY AGENTS; ANTIBODIES, MONOCLONAL; AZATHIOPRINE; CROHN DISEASE; DRAINAGE; DRUG THERAPY, COMBINATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; ILEOSTOMY; IMMUNOSUPPRESSIVE AGENTS; INTERDISCIPLINARY COMMUNICATION; MALE; METRONIDAZOLE; MIDDLE AGED; PATIENT CARE TEAM; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RECTAL FISTULA; RECTOVAGINAL FISTULA; RECTUM; REOPERATION; SURGICAL FLAPS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 68049129662     PISSN: 00094722     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00104-009-1706-z     Document Type: Article

References (27)

1. Rankin GB, Watts HD, Melnyk CS, KeIley ML Jr (1979) National Cooperative Crohn's Disease Study: extraintestinal manifestations and perianal complications. Gastroenterology 77(4 Pt 2):914-920
2. van Dongen LM, Lubbers EJ (1986) Perianal fistulas In patients with Crohn's disease. Arch Surg 121(10):1187-1190
3. Galandiuk S, Kimberling J, Al-Mishlab TG, Stromberg AJ (2005) Perianal Crohn disease: predictors of need for permanent diversion. Ann Surg 241(5):796-802
4. Ky A, Sohn N, Weinstein MA, Korelitz BI (1998) Carcinoma arising in anorectal fistulas of Crohn's disease. Dis Colon Rectum 41 (8):992-996
5. Buchmann P, Keighley MR, Allan RN et al (1980) Natural history of perianal Crohn's disease. Ten year follow-up: a plea for conservatism. Am J Surg 140(5):642-644
6. Lichtenstein GR (2000)Treatment of fistulizing Crohn's disease. Gastroenterology 119(4):1132-1147
7. Brandt LJ, Bernstein LH, Boley SJ, Frank MS (1982) Metronidazole therapy for perineal Crohn's disease: a follow-up study. Gastroenterology 83(2):383-387
8. Dejaco C, Harrer M, Waldhoer T et al (2003) Antibiotics and azathioprlne for the treatment of perianal fistulas in Crohn's disease. Aliment Pharmacol Ther 18(11-12):1113-1120
9. Present DH, Rutgeerts P, Targan S et al (1999) Infliximab for the treatment of fistulas in patients with Crohn's disease. N Engl J Med 340(18):1398-1405
10. Topstad DR, Panaccione R, Heine JA et al (2003) Combined seton placement, infliximab infusion and maintenance immunosuppressives improve healing rate in fistulizing anorectal Crohn's disease: a single center experience. Dis Colon Rectum 46(5)577-583
11. Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63(1):1 -12
12. Michelassi F, Melis M, Rubin M, Hurst RD (2000) Surgical treatment of anorectal complications in Crohn's disease. Surgery 128(4)597-603
13. Van der Hagen SJ, Baeten CG, Soeters PB et al (2005) Antl-TNF-alpha (infliximab) used as induction treatment in case of active proctitis in a multistep strategy followed by definitive surgery of complex anal fistulas in Crohn's disease: a preliminary report. Dis Colon Rectum 48(4):758-767
14. Schwandner O, Stadler F, Dietl O et al (2008) Initial experience on efficacy in closure of cryptoglandular and Crohn's transsphincteric fistulas by the use of the anal fistula plug. Int J Colorectal Dis 23(31:319-324
15. Williams JG, Rothenberger DA, Nemer FD, Goldberg SM (1991) Fistula-in-ano in Crohn's disease. Results of aggressive surgical treatment. Dis Colon Rectum 34(5):378-384
16. Ardizzone S, Maconi G, Colombo E et al (2004) Perianal fistulae following infliximab treatment: clinical and endosonographic outcome. Inflamm Bowel Dis 10(2):91-96
17. van Bodegraven AA, Sloots CE, Felt-Bersma RJ, Meuwissen SG (2002) Endosonographic evidence of persistence of Crohn's disease-associated fistulas after infliximab treatment, irrespective of clinical response. Dis Colon Rectum 45(1):39-45
18. Scott HJ, Northover JM (1996) Evaluation of surgery for perianal Crohn's fistulas. Dis Colon Rectum 39(91:1039-1043
19. Sandborn WJ, Present DH, Isaacs KL et al (2003) Tacrolimus for the treatment of fistulas in patients with Crohn's disease: a randomized, placebo-controlled trial. Gastroenterology 125(2):380-388
20. Regueiro M, Mardini H (2003)Treatment of perianal fistulizing Crohn's disease with infliximab alone or as an adjunct to exam under anesthesia with seton placement. Inflamm Bowel Dis 9(2):98-103
21. Talbot C, Sagar PM, Johnston MJ et al (2005) Infliximab in the surgical management of complex fistulating anal Crohn's disease. Colorectal Dis 7(2):164-168
22. Takesue Y, Ohge H, Yokoyama T et al (2002) Longterm results of seton drainage on complex anal fistulae in patients with Crohn's disease. J Gastroenterol 37(11):912-915
23. Rasul I, Wilson SR, MacRae H et al (2004) Clinical and radiological responses after infliximab treatment for perianal fistulizing Crohn's disease. Am J Gastroenterol 99(1):82-88
24. Wexner SD, Ruiz DE, Genua J et al (2008) Gracilis muscle interposition for the treatment of rectourethral, rectovaginal and pouch-vaginal fistulas: results in 53 patients. Ann Surg 248(1):39-43
25. Zmora O, Tulchinsky H, Gur E et al (2006) Gracilis muscle transposition for fistulas between the rectum and urethra or vagina. Dis Colon Rectum 49(9):1316-1321
26. Halverson AL, Hull TL, Fazio VW et al (2001) Repair of recurrent rectovaginal fistulas. Surgery 130(4):753-757; discussion 757-758
27. Lange J, Mölle B, Girona J (2005) Chirurgische Proktologie. 1. Aufl. Springer, Berlin