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Definitive repair of anovaginal fistula in Crohn's disease.
O'Leary, D P; Milroy, C E; Durdey, P.
Afiliación
  • O'Leary DP; Department of Surgery, Bristol Royal Infirmary.
Ann R Coll Surg Engl ; 80(4): 250-2, 1998 Jul.
Article en En | MEDLINE | ID: mdl-9771223
Anovaginal fistula may be a very distressing complication of Crohn's disease. We review the definitive repair of such fistulas in ten patients. The objectives were to cure the fistula, maintain continence and avoid proctectomy. The fistula was low trans-sphincteric in five patients, high trans-sphincteric in three and suprasphincteric in two. Loop ileostomies were formed in nine patients. Overall, after 14 repair procedures 8/10 fistulas are healed. Seven remain healed at a mean of 38 months (range 10-66 months) after ileostomy closure (six) or repair without ileostomy (one). All of the patients are continent. Definitive repair is effective and worthwhile in selected patients with Crohn's anovaginal fistula.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Crohn / Fístula Rectovaginal Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Ann R Coll Surg Engl Año: 1998 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Crohn / Fístula Rectovaginal Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Ann R Coll Surg Engl Año: 1998 Tipo del documento: Article Pais de publicación: Reino Unido