 |
 |
|
Home |
Current Issue |
Past Issues |
In the Clinic |
ACP Journal Club |
CME |
Collections |
Audio/Video |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
20 November 2001 | Volume 135 Issue 10 | Pages 906-918
Perianal fistulas occur in up to 43% of patients with Crohn disease. Diagnostic evaluation to determine the location and type of fistulas and the presence or absence of rectal inflammation is required. A combined medical and surgical approach to the management of such patients is the optimal treatment plan. Perianal abscesses must be drained. Superficial, low transsphincteric, and low intersphincteric fistulas are usually treated with fistulotomy and antibiotics. High transsphincteric, suprasphincteric, and extrasphincteric fistulas are usually treated with noncutting setons, antibiotics, and azathioprine or 6-mercaptopurine and, in many cases, infliximab.
Author and Article Information
From the Mayo Clinic, Rochester, Minnesota.
Requests for Single Reprints: William J. Sandborn, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; e-mail, sandborn.william{at}mayo.edu.
Current Author Addresses: Drs. Schwartz, Pemberton, and Sandborn: Mayo Clinic, 200 First Street SW, Rochester, MN 55905. REVIEW
Diagnosis and Treatment of Perianal Fistulas in Crohn Disease
This article has been cited by other articles:
|
|
 |
|
  A. Kuek, B. L Hazleman, and A. J K Ostor Immune-mediated inflammatory diseases (IMIDs) and biologic therapy: a medical revolution Postgrad. Med. J., April 1, 2007; 83(978): 251 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Horsthuis and J. Stoker MRI of Perianal Crohn's Disease Am. J. Roentgenol., November 1, 2004; 183(5): 1309 - 1315. [Full Text] [PDF]
|
|
|
|
 |
|
 B. E. Sands, F. H. Anderson, C. N. Bernstein, W. Y. Chey, B. G. Feagan, R. N. Fedorak, M. A. Kamm, J. R. Korzenik, B. A. Lashner, J. E. Onken, et al. Infliximab Maintenance Therapy for Fistulizing Crohn's Disease N. Engl. J. Med., February 26, 2004; 350(9): 876 - 885. [Abstract] [Full Text] [PDF]
|
|
Article
