Abstract
Surgical treatment of perianal or anal fistulas in Crohn’s disease depends above all on the activity and pattern of gastrointestinal involvement. Aggressive surgery in high fistulas even with partial division of the sphincter frequently leads to irreversible damage of continence function and is contraindicated in this situation.
With careful local surgery complete long-term success occurs in up to 80 % of simple low fistulas. In 60 %–70 % of high fistulas temporary loop ileostomy, if necessary in combination with local surgical procedures, and fibrin glue application leads to objective improvement of the condition and at least to the absence of symptoms.
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References
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© 1994 Springer-Verlag Berlin Heidelberg
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Friedl, P.G., Schürmann, G., Herfarth, C. (1994). The Role of Fibrin Sealing in Surgical Treatment of Anal and Perianal Fistulas in Crohn’s Disease. In: Schlag, G., Waclawiczek, HW., Daum, R. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-85101-8_14
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DOI: https://doi.org/10.1007/978-3-642-85101-8_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-57742-3
Online ISBN: 978-3-642-85101-8
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