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Dis Colon Rectum. 1996 Sep;39(9):1039-43.

Evaluation of surgery for perianal Crohn's fistulas.

Author information

1
St Mark's Hospital, Harrow, Middlesex, United Kingdom.

Abstract

PURPOSE:

This study was designed to evaluate the operative treatments performed on patients with perianal Crohn's disease at a tertiary referral colorectal university hospital and to determine the efficacy of management by assessing patient satisfaction.

METHODS:

A retrospective survey included 59 patients with perianal Crohn's disease who had undergone surgery during the period of 1991 to 1993, inclusive.

RESULTS:

Twenty-seven patients were treated by laying the fistula open (81 percent successful), and another 27 cases were treated with a loose seton (85 percent successful). Five cases were complicated fistulas and underwent diversionary stomas as part of a primary procedure. Overall success rate, as judged by patient satisfaction, was 83 percent.

CONCLUSION:

Conservative surgery has a role in management of perianal Crohn's disease. Patient satisfaction can be achieved without complete healing. Better preoperative assessment may improve results further.

PMID:
8797656
[Indexed for MEDLINE]

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