| Fecal diversion in perirectal fistulizing Crohn's disease is an underutilized and potentially temporary means of successful treatment. | |
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MedLine Citation:
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PMID: 19725296 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The purpose of this study was to determine the outcome of patients treated with fecal diversion for perirectal fistulizing Crohn's disease. Thirty-nine patients were identified and followed for an average of 60 months. Patients were divided into two groups based on surgical treatment: local surgical treatment only and fecal diversion in addition to local surgical therapy. Thirteen patients (33%) underwent fecal diversion due to the severity of their disease. Eleven of these patients (85%) had complete resolution of their fistulas and only two (15%) required proctectomy. In contrast, only five out of 26 patients (19%) who underwent local surgical procedures alone had complete perirectal disease resolution. Intestinal continuity was restored in six patients (46%) and three of these patients (50%) remained disease free. The remaining three patients had disease recurrence, which required additional local procedures in one patient (17%), but with eventual resolution; the other two patients (33%) necessitated rediversion. Our data suggest that fecal diversion is a viable treatment option for severe perirectal fistulizing Crohn's disease and may be associated with a higher rate of resolution than local surgical treatment alone. In addition, we demonstrate a higher rate of successful intestinal continuity restoration than is typically reported. |
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Authors:
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Kellee L Rehg; Jaime E Sanchez; Beth R Krieger; Jorge E Marcet |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 75 ISSN: 0003-1348 ISO Abbreviation: - Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-09-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
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Languages: eng Pagination: 715-8 Citation Subset: IM |
Affiliation:
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Division of Colon and Rectal Surgery, University of South Florida, Tampa, Florida, USA. krehg@health.usf.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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