Fistulas in Crohn’s Disease as a Complication of the Underlying Disease
Endoscopic fibrin sealing for the occlusion of fistulas in Crohn’s disease was first used in 1985 in a young female patient with an active phase of inflammation and a fresh rectovaginal fistula. In the setting of a prospective study 15 more cases of patients with fistulas were treated in this way.
Occlusion of the fistula was achieved in 14 cases. Relapses and complications did not occur, except one abscess 2 months later in one patient. Fistula occlusion by fibrin sealing is an easy and well tolerated method and represents a substantial improvement of therapy of fistulas in Crohn’s disease. Neither conservative therapy nor surgical intervention are affected by this method.
KeywordsTotal Parenteral Nutrition Rectovaginal Fistula Young Female Patient Anorectal Fistula Fistula Occlusion
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- 1.Malchow H (1985) Z Gastroenterol 23Google Scholar
- 3.Greenberg GE et al (1976) Total parenteral nutrition and bowel rest in the management of Crohn’s disease. Gut 17: 828Google Scholar
- 5.Jacbbovits J et al (1984) Metronidazol therapy of Crohn’s disease and associated fistulae. Am J Gastroenterol 79: 533Google Scholar
- 9.Lennard-Johns et alGoogle Scholar
- 10.Best et alGoogle Scholar
- 14.Eimiller A, Neuhaus H, Paul F (1987) Fortschr Gastroenterol Endosk 17: 60–62Google Scholar