Surgical therapy of perianal Crohn's disease

被引：24

作者：

Singh, B. ^{[1
]}

George, B. D. ^{[2
]}

McC Mortensen, N. J. ^{[2
]}

机构：

[1] John Radcliffe Hosp, Nuffield Dept Surg, Oxford, England

[2] John Radcliffe Hosp, Dept Colorectal Surg, Oxford OX3 9DU, England

来源：

DIGESTIVE AND LIVER DISEASE | 2007年 / 39卷 / 10期

关键词：

damage limitation; local repair; perianal Crohn's disease; proctectomy; sepsis;

D O I：

10.1016/j.dld.2007.07.157

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The surgical management of perianal Crohn's disease is complex with a wide range of operations being described. The initial emergency treatment is to drain any source of underlying sepsis. A loose seton drainage or a defunctioning stoma can then be used as a 'bridge' to definitive treatment allowing both adequate assessment of the condition and preventing further sepsis. The likelihood of success of any surgical repair must be weighed against the risk of faecal incontinence. Improved results of a local surgical repair are seen with optimal surgical and medical management of perianal Crohn's disease. (C) 2007 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

引用

页码：988 / 992

页数：5

共 69 条

[1]

Alexander-Williams J, 1980, World J Surg, V4, P203

[2]

MANAGEMENT OF PERIANAL CROHNS-DISEASE [J].

ALLAN, A ;

KEIGHLEY, MRB .

WORLD JOURNAL OF SURGERY, 1988, 12 (02) :198-202

[3]

Perianal Crohn’s disease [J].

Abhijit Basu ;

Steven D. Wexner .

Current Treatment Options in Gastroenterology, 2002, 5 (3) :197-206

[4]

Bergstrand O, 1980, Acta Chir Scand Suppl, V500, P43

[5]

Bodzin JH, 1998, AM SURGEON, V64, P627

[6]

Long-term outcome following loose-seton technique for external sphincter preservation in complex anal fistula [J].

Buchanan, GN ;

Owen, HA ;

Torkington, J ;

Lunniss, PJ ;

Nicholls, RJ ;

Cohen, CRG .

BRITISH JOURNAL OF SURGERY, 2004, 91 (04) :476-480

[7]

Role of a defunctioning stoma in the management of large bowel Crohn's disease [J].

Edwards, CM ;

George, BD ;

Jewell, DP ;

Warren, BF ;

Mortensen, NJM ;

Kettlewell, MGW .

BRITISH JOURNAL OF SURGERY, 2000, 87 (08) :1063-1066

[8]

Long-term seton drainage for high anal fistulas in Crohn's disease - A sphincter-saving operation? [J].

Faucheron, JL ;

SaintMarc, O ;

Guibert, L ;

Parc, R .

DISEASES OF THE COLON & RECTUM, 1996, 39 (02) :208-211

[9]

ANAL-FISSURE IN CROHNS-DISEASE - A PLEA FOR AGGRESSIVE MANAGEMENT [J].

FLESHNER, PR ;

SCHOETZ, DJ ;

ROBERTS, PL ;

MURRAY, JJ ;

COLLER, JA ;

VEIDENHEIMER, MC .

DISEASES OF THE COLON & RECTUM, 1995, 38 (11) :1137-1143

[10]

The management of perianal Crohn's disease [J].

Frizelle, FA ;

Santoro, GA ;

Pemberton, JH .

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1996, 11 (05) :227-237

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