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Yeungnam Univ J Med > Volume 34(2); 2017 > Article
Yeungnam University Journal of Medicine 2017;34(2):169-173.
DOI: https://doi.org/10.12701/yujm.2017.34.2.169    Published online December 31, 2017.
Surgical treatment of perianal fistula in Crohn's disease
Sohyun Kim
Department of surgery, Yeungnam University College of Medicine, Daegu, Korea. kshgs@yu.ac.kr
Abstract
Perianal Crohn's disease is a major problem that impair quality of life. This article reviews the current surgical treatment of Crohn's perianal fistula. Fistulotomy and loose seton are commonly used surgical methods for treatment of perianal Crohn's disease. Mucosal advancement flap and fibrin glue are used in this treatment, despite a lake of controlled trials. Fecal diversion is disturbingly high in complicated complex perianal fistula in Crohn's disease. Ligation of intersphincteric fistula and autologous or allogenic stem cells are new surgical procedures for treatment of Crohn's disease that need further studies. Treatment success might be improved by multimodal treatment and new surgical and medical treatment options.
Key Words: Perianal, Crohn's disease, Fistula, Surgery


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