Management of perianal fistula in inflammatory bowel disease: identification of prognostic factors associated with surgery

Casas, Sara Gortázar de las; Alvarez‐Gallego, Mario; Martínez, Jose Antonio Gazo; Alcolea, Natalia González; Serrano, Cristina Barragán; Jiménez, Aitor Urbieta; Arranz, María Dolores Martín; Martín, José Luis Marijuán; Migueláñez, Isabel Pascual

doi:10.1007/s00423-021-02100-4

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…Perianal abscess or fistula is a disabling complication that requires surgical intervention. Patients with simple perianal fistula require fistulotomy or fistulectomy; those with complex fistula with risk of sphincter injury may imply usage of non-cutting setons 36,37 .…”

Section: Discussionmentioning

confidence: 99%

Ulcerative colitis complicated with Fournier’s gangrene: A case report

Bondoc¹,

Zamfir²,

Mardare³

et al. 2023

Public Health Toxicol

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Section: Discussionmentioning

confidence: 99%

Ulcerative colitis complicated with Fournier’s gangrene: A case report

Bondoc¹,

Zamfir²,

Mardare³

et al. 2023

Public Health Toxicol

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Laser Therapy in Perianal Fistulas

et al. 2022

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(1) Background: Perianal fistula represents a chronic local suppuration, and recurrent or incorrectly treated, this pathology has a negative effect on the life of patients. (2) Methods: A 12-month prospective study was conducted with a study group (patients at the second presentation) and a control group (patients at the first presentation). The BTL-6000 brand laser has 50 times the maximum power of conventional laser devices with an unmatched wavelength of 1064 nm and a tissue penetration power of up to 10 cm. It is highly effective in speeding up healing and pain management (3) Results: Transcutaneous high-intensity laser therapy of perianal fistulas proved effective with a promising positive impact on both symptomatology and local signs in the study group. As for the patients in the control group, 37 of them required a second hospitalization due to the recurrence of symptoms and to whom the same laser therapy was applied. (4) Conclusions: A beneficial and positive effect was observed in our study, mainly on the symptoms determined by the appearance of the perianal fistula, both in the short- and long-term. High-frequency laser therapy is of major importance, considering the lower costs compared to surgery as well as the discomfort created during local treatments.

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Timing of individualized surgical intervention in Crohn’s disease

Xia¹,

Gao²,

Wu³

et al. 2022

World J Gastrointest Surg

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Crohn’s disease (CD) is a chronic inflammatory disorder of the gastrointestinal tract with an increasing incidence worldwide. Comprehensive therapy for CD focuses on symptom control and healing the intestinal mucosa to improve the quality of life and prevent complications. Surgical intervention plays a vital role in comprehensive therapy. However, deciding the optimal timing for surgical intervention has long been a focus of controversy. This review provides insights into the timing of surgery for CD and guides clinicians in daily treatment.

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Management of perianal fistula in inflammatory bowel disease: identification of prognostic factors associated with surgery

Cited by 3 publications

References 37 publications

Ulcerative colitis complicated with Fournier’s gangrene: A case report

Ulcerative colitis complicated with Fournier’s gangrene: A case report

Laser Therapy in Perianal Fistulas

Timing of individualized surgical intervention in Crohn’s disease

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