Skip to main content
SpringerLink
Log in

Surgery for incontinence and Crohn’s disease

  • Chapter
Disordered Defaecation

Part of the book series: Developments In Surgery ((DISU,volume 8))

  • 37 Accesses

Abstract

Anal Crohn and incontinence are linked in different respects. Many gastroen-terologists and internists advocate a very conservative treatment of granulomatous lesions of the anus, and many surgeons severely restrict the indications for surgical intervention or state otherwise that these lesions often end up with total excision of the rectum. Authors like Alexander-Williams and Buchmann [1,2] state that ‘often the only point in attempting to differentiate is that we should advocate a very much more conservative approach if Crohn’s disease is suspected’ while others recommend a conservative approach directed mainly at relieving the patient of his complaints [3–25].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander-Williams J, Buchmann P. 1980. Peri-anal Crohn’s disease. World J Surg 4: 203–208.

    Article  PubMed  CAS  Google Scholar 

  2. Buchmann P, Alexander-Williams J. 1980. Classification of Peri-anal Crohn’s Disease. Clin Gastroenterol 9(2): 323–330.

    PubMed  CAS  Google Scholar 

  3. Buchmann P, Weterman IT. 1981. Peri-anal Crohn’s Disease. Coloproctology. 3: 77–81.

    Google Scholar 

  4. Buchmann P, Weterman IT, Keighley MRB, Pena AS, Allan RN, Alexander-Williams J. 1981. The prognosis of ileo-rectal anastomosis in Crohn’s disease. Br J Surg 68: 7–10.

    Article  PubMed  CAS  Google Scholar 

  5. Chaikhouni A, Regueyra FI, Stevens JR. 1981. Adenocarcinoma in perineal fistulas of Crohn’s Disease. Dis Colon Rectum 24: 639–643.

    Article  PubMed  CAS  Google Scholar 

  6. Chapuis G. 1981. Progrès dans la chirurgie de la maladie de Crohn du colon et du rectum. Helv Chir Acta. 48: 805–812.

    Google Scholar 

  7. Daly JJ, Madrazo A. 1980. Anal Crohn’s Disease with Carcinoma. Dig Dis Sci 25: 464–465.

    Article  CAS  Google Scholar 

  8. Faulconer HT, Muldoon JP. 1975. Rectovaginal fistula in patients with colitis. Dis Colon Rectum 18: 413–415.

    Article  PubMed  CAS  Google Scholar 

  9. Frank MS, Brandt LJ, Bernstein LH. 1983. Pharmacotherapy of inflammatory bowel disease. Pharmacotherapy, part 2, 74:155–172.

    CAS  Google Scholar 

  10. Gray BK, Lockhart-Mummery HE, Morson BC. 1965. Crohn’s disease of the anal region. Gut 6: 515–524.

    Article  PubMed  CAS  Google Scholar 

  11. Greenstein AJ, Dicker A, Meyers S, Aufses AH Jr. 1983. Periileostomy fistulae in Crohn’s Disease. Ann Surg 197: 179–182.

    Article  PubMed  CAS  Google Scholar 

  12. Greenstein AJ, Sachar DB, Kark AE. 1975. Stricture of the ano-rectum in Crohn’s Disease involving the colon. Ann Surg 181: 207–212.

    Article  PubMed  CAS  Google Scholar 

  13. Gruwez JA, Christiaens MR, Lacquet A. 1983. La maladie de Crohn de l’anus. Acta Endosc 13(4): 285–292.

    Article  Google Scholar 

  14. Harper PH, Kettlewell MGW, Lee ECG. 1982. The effect of split ileostomy on peri-anal Crohn’s disease. Br J Surg 69: 608–610.

    Article  PubMed  CAS  Google Scholar 

  15. Hellers G, Bergstrand O, Ewerth S, Holström B. 1980. Occurrence and outcome after primary treatment of anal fistulae in Crohn’s disease. Gut 21: 525–527.

    Article  PubMed  CAS  Google Scholar 

  16. Heuman R, Bolin T, Sjödahl R, Tagesson C. 1981. The incidence and course of peri-anal complications and arthralgia after intestinal resection with restoration of continuity for Crohn’s disease. Brit J Surg 88: 528–530.

    Article  Google Scholar 

  17. Hivet MM, Harmeau H. 1970. Maladie de Crohn colique avec lésions anales et périnéales dominantes. Arch Fr Mal App Dig 59: 481–487.

    PubMed  CAS  Google Scholar 

  18. Hobbiss JH, Schofield PF. 1982. Management of peri-anal Crohn’s disease. Ann Roy Soc Med 75: 414–417.

    CAS  Google Scholar 

  19. Homan WP, Tang CK, Thorbjarnarson B. 1976. Anal Lesions Complicating Crohn’s Disease. Arch Surg 111: 1333–1335.

    PubMed  CAS  Google Scholar 

  20. Kayasseh L, Stalder GA. 1971. Über die analen Komplikationen des Morbus Crohn. Schweiz Med Wschr 101: 760–761.

    PubMed  CAS  Google Scholar 

  21. Lockhart Mummery HE. 1985. Anal lesions in Crohn’s disease. Br J Surg 77: 95–96.

    Article  Google Scholar 

  22. Lockhart Mummery HE. 1975. Crohn’s disease: Anal Lesions. Dis Colon Rectum: 200–202.

    Google Scholar 

  23. Lockhart Mummery HE. 1965. Pathologic lesions of the anal region associated with Crohn’s Disease. Dis Colon Rectum 8: 399–401.

    Article  PubMed  CAS  Google Scholar 

  24. Markowitz J, Daum F, Aiges H, Kahn E, Silverberg M, Fisher. 1984. Peri-anal disease in children and adolescents with Crohn’s Disease. Gastroenterology 86: 829–33.

    PubMed  CAS  Google Scholar 

  25. Marks GG, Ritchie JK, Lockhart Mummery HE. 1981. Anal fistulas in Crohn’s Disease. Br J Surg 68: 525–527.

    Article  PubMed  CAS  Google Scholar 

  26. Athanasiadis S, Girona J. 1983. Neue Behandlungsmethoden der perianalen Fisteln bei Morbus Crohn. Langenbecks Arch Chir 360:119–132.

    Article  PubMed  CAS  Google Scholar 

  27. Sohn N, Korelitz BI, Weinstein MA. 1980. Ano-rectal Crohn’s disease: Definitive surgery for fistulas and recurrent abscesses. Am J Surg 133: 394–397.

    Article  Google Scholar 

  28. Lehur PA. 1986. Traitement des lésions anales dans la maladie de Crohn. Gastroenterol Clin Biol 10: 201–203.

    PubMed  CAS  Google Scholar 

  29. Mareschal C, Van Heuverzwijn M, Melange M, Fiasse R. 1986. Chirurgie anale dans la maladie de Crohn. Resultats cliniques et fonctionnels. Gastroenterol Clin Biol 10: 204–207.

    PubMed  CAS  Google Scholar 

  30. Van Heuverzwijn R, Mayeur S, Fiasse R, Detry R, Dive Ch. 1983. Surgery in anal Crohn’s Disease. Coloproctology 5: 105–108.

    Google Scholar 

  31. Williams R, Coller JA, Corman M, Nugent C, Malcolm C, Veidenheimer C. 1981. Anal complications in Crohn’s Disease. Dis Colon Rectum: 22–24.

    Google Scholar 

  32. Slater G, Greenstein A, Aufses AH. 1984. Anal carcinoma in patients with Crohn’s disease. Ann Surg 199:348–350.

    Article  PubMed  CAS  Google Scholar 

  33. Sommerville KW, Langman MJS, Cruz DJA, Balfour TW, Sully L. 1984. Malignant transformation and anal skin tags in Crohn’s disease. Gut 25:1124–1125.

    Article  Google Scholar 

  34. Van Heuverzwijn R, Haot J, Prington J, Detry R, Dive Ch. 1985. Cancer in anal fistulae in Crohn’s disease. Coloproctology 7: 23–25.

    Google Scholar 

  35. Brandt JL, Bernstein LH, Boley SJ, Frank MS. 1982. Metronidazole therapy for perineal Crohn’s disease: a follow-up study. Gastroenterology 83: 383–387.

    PubMed  CAS  Google Scholar 

  36. Singleton JW. 1980. Medical therapy of inflammatory bowel disease. Med Clin North Am 64: 1117–1131.

    PubMed  CAS  Google Scholar 

  37. Bernstein LH, Frank MS, Brandt LJ, Boley SJ. 1980. Healing of Perineal Crohn’s Disease with Metronidazole. Gastroenterology 79: 357–365.

    PubMed  CAS  Google Scholar 

  38. Ryan JA. Gracilis muscle flap for the persistent peri-anal sinus of inflammatory bowel disease. Am J Surg 148: 64–70.

    Google Scholar 

  39. Keighley MRB, Allan RN. 1985. Dangers of surgical treatment for perianal Crohn’s disease. Gut 26: A1136.

    Google Scholar 

  40. Buchmann P, Keighley MRB, Allan RN, Thompson H, Alexander-Williams J. 1980. Natural History of Peri-anal Crohn’s Disease. Am J Surg 140: 642–644.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. J. A. Gruwez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. R. Christiaens
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospital, Rijnsburgerweg 10, 2333 AA, Leiden, The Netherlands

    H. G. Gooszen  & H. O. Ten Cate Hoedemaker  & 

  2. Department of Gastroenterology, University Hospital, Rijnsburgerweg 10, 2333 AA, Leiden, The Netherlands

    I. T. Weterman

  3. Department of Surgery, The General Hospital, Steelhouse Lane, B4 6NH, Birmingham, UK

    M. R. B. Keighley

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishers, Dordrecht

About this chapter

Cite this chapter

Gruwez, J.A., Christiaens, M.R. (1987). Surgery for incontinence and Crohn’s disease. In: Gooszen, H.G., Ten Cate Hoedemaker, H.O., Weterman, I.T., Keighley, M.R.B. (eds) Disordered Defaecation. Developments In Surgery, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3335-4_20

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-3335-4_20

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7998-3

  • Online ISBN: 978-94-009-3335-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation