The American journal of gastroenterology · 1993
Healing of transsphincteric perianal fistulas in Crohn's disease using a new technique.
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Winter A M, Banks P A, Petros J G
Аннотация
OBJECTIVES: Transsphincteric perianal fistulas in Crohn's disease are often refractory to medical therapy and difficult to treat surgically. Our objective was to determine whether a new method of anal fistulotomy was effective in healing these fistulas.
METHODS: In this new method, the internal opening of the fistula tract was displaced distally to the region of the anal mucosa in 26 patients with Crohn's disease.
RESULTS: Healing was achieved within 5 weeks of surgery in 45/49 (92%) of the fistulas and was not influenced by perioperative medication, site of preexisting Crohn's disease, or condition of the rectum. There has been no alteration of preoperative continence.
CONCLUSIONS: We conclude that this method is highly effective in treating transsphincteric perianal fistulas in Crohn's disease.
METHODS: In this new method, the internal opening of the fistula tract was displaced distally to the region of the anal mucosa in 26 patients with Crohn's disease.
RESULTS: Healing was achieved within 5 weeks of surgery in 45/49 (92%) of the fistulas and was not influenced by perioperative medication, site of preexisting Crohn's disease, or condition of the rectum. There has been no alteration of preoperative continence.
CONCLUSIONS: We conclude that this method is highly effective in treating transsphincteric perianal fistulas in Crohn's disease.