Anal fistulas in Crohn's disease: incidence and outcome of surgical treatment.

摘要: The incidence and prognosis of anal fistulas were investigated in a prospective study comprising 136 patients operated on for Crohn's disease. was 27 (20%), with classical disease 12 68 (18%), those colitis 15 (22%). A fistula preceded the intestinal manifestation 6 patients. At time diagnosis observed 19 cases, including 3 early onset which had resisted treatment remained active. Five developed lesions during course disease, all but 2 temporal relationship to an recurrence. Of fistulas, 11 low-anal type, whereas 14 anorectal. Conventional laying open undertaken close conjunction resection On local surgical 10 (89%) healed preservation continence. Four recurrent occurring recurrence also uneventfully. Laying colitis. Healing obtained only 4 these In remaining severe indicated immediate proctocolectomy. Occurrence involved significant delay perineal healing after proctectomy. It is concluded that traditional followed by high rate uneventful healing. contrast, complicating usually unsuccessful.(ABSTRACT TRUNCATED AT 250 WORDS)