Yeungnam Univ J Med.  2017 Dec;34(2):169-173. 10.12701/yujm.2017.34.2.169.

Surgical treatment of perianal fistula in Crohn's disease

Affiliations
  • 1Department of surgery, Yeungnam University College of Medicine, Daegu, Korea. kshgs@yu.ac.kr

Abstract

Perianal Crohn's disease is a major problem that impair quality of life. This article reviews the current surgical treatment of Crohn's perianal fistula. Fistulotomy and loose seton are commonly used surgical methods for treatment of perianal Crohn's disease. Mucosal advancement flap and fibrin glue are used in this treatment, despite a lake of controlled trials. Fecal diversion is disturbingly high in complicated complex perianal fistula in Crohn's disease. Ligation of intersphincteric fistula and autologous or allogenic stem cells are new surgical procedures for treatment of Crohn's disease that need further studies. Treatment success might be improved by multimodal treatment and new surgical and medical treatment options.

Keyword

Perianal; Crohn's disease; Fistula; Surgery

MeSH Terms

Combined Modality Therapy
Crohn Disease*
Fibrin Tissue Adhesive
Fistula*
Lakes
Ligation
Quality of Life
Stem Cells
Fibrin Tissue Adhesive
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