Fistulizing Crohn's disease: Diagnosis and management.

Details

Serval ID
serval:BIB_399FB3B59328
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Fistulizing Crohn's disease: Diagnosis and management.
Journal
United European Gastroenterology Journal
Author(s)
Gecse K., Khanna R., Stoker J., Jenkins J.T., Gabe S., Hahnloser D., D'Haens G.
ISSN
2050-6406 (Print)
ISSN-L
2050-6406
Publication state
Published
Issued date
2013
Volume
1
Number
3
Pages
206-213
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Fistulizing Crohn's disease represents an evolving, yet unresolved, issue for multidisciplinary management. Perianal fistulas are the most frequent findings in fistulizing Crohn's disease. While enterocutaneous fistulas are rare, they are associated with considerable morbidity and mortality. Detailed evaluation of the fistula tract by advanced imaging techniques is required to determine the most suitable management options. The fundamentals of perianal fistula management are to evaluate the complexity of the fistula tract, and exclude proctitis and associated abscess. The main goals of the treatment are abscess drainage, which is mandatory, before initiating immunosuppressive medical therapy, resolution of fistula discharge, preservation of continence and, in the long term, avoidance of proctectomy with permanent stoma. The management of enterocutaneous fistulas comprises of sepsis control, skin care, nutritional optimization and, if needed, delayed surgery.
Pubmed
Web of science
Open Access
Yes
Create date
30/09/2014 14:20
Last modification date
20/08/2019 13:29
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