Anorectal crohn's disease: Definitive surgery for fistulas and recurrent abscesses

319

220

The American Society of Colon and Rectal Surgeons is dedicated to assuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus. The Standards Committee is composed of Society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This Committee was created to lead international efforts in defining quality care for conditions related to the colon, rectum, and anus. This is accompanied by developing Clinical Practice Guidelines based on the best available evidence. These guidelines are inclusive, and not prescriptive. Their purpose is to provide information on which decisions can be made, rather than dictate a specific form of treatment. These guidelines are intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines. It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all of the circumstances presented by the individual patient.

Section: Treatment Of a Complex Fistula-in-anomentioning

confidence: 99%

Practice Parameters for the Treatment of Perianal Abscess and Fistula-in-Ano (Revised)

Whiteford

Kilkenny

Hyman

et al. 2005

319

220

“…Some patients are successfully managed by placement of a noncutting seton. 2,3 Other sphincter-sparing approaches include endoanal advancement flaps, fibrin glue injection, and collagen plug insertion.…”

mentioning

confidence: 99%

Does Infliximab Infusion Impact Results of Operative Treatment for Crohn's Perianal Fistulas?

Gaertner¹,

Decanini²,

Mellgren³

et al. 2007

102

“…However, anatomic type of abscesses, frequency of rectal disease and length of follow-up are not given, making a comparison with our data difficult. Sohn et al 19 treated 15 selected patients with recurrent abscesses by partial internal sphincterotomy and reported healing in 12 of them. Again, rectal disease and abscess type are not given in this study.…”

Section: Discussionmentioning

confidence: 98%

Perianal abscess in Crohn's disease

Makowiec¹,

Jehle²,

Becker³

et al. 1997

112