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Cryptoglandular Abscess and Fistula

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The ASCRS Textbook of Colon and Rectal Surgery

Abstract

Cryptoglandular sepsis is the leading cause of anorectal abscess, and at least one-third of abscess cases progress to anorectal fistula formation. Management of these disorders centers on the control of sepsis, amelioration of symptoms, prevention of recurrence, and preservation of continence. There are numerous techniques and methods that can be employed in disease management, some of which have stood the test of time and some have not. Creative clinicians continue to attempt to expand the treatment armamentarium such that we can arrive at a “perfect” treatment. Unfortunately, this treatment does not currently exist. In this chapter, we attempt to provide background on the majority of methods used to treat cryptoglandular abscess and fistula as well as some insight into the potential treatments of the future.

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Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Eric K. Johnson

  2. UW Medicine – Valley Medical Center, Department of Surgery, Renton, WA, USA

    Greta Bernier

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  1. Eric K. Johnson
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Editors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Scott R. Steele

  2. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. University of Chicago Medical Center, Chicago, IL, USA

    Neil Hyman

  4. Department of Surgery, University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel

  5. Division of Gastrointestinal Surgery, University of Florida, Gainesville, FL, USA

    Thomas E. Read

  6. Department of Colon and Rectal Surgery, Ochsner Clinic, New Orleans, LA, USA

    Charles B. Whitlow

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Johnson, E.K., Bernier, G. (2022). Cryptoglandular Abscess and Fistula. In: Steele, S.R., Hull, T.L., Hyman, N., Maykel, J.A., Read, T.E., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-66049-9_13

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