Fistulous complications of Crohn's disease.
The fistulas encountered in Crohn's disease are a frequent complication and may be internal or external. The first type are gut-to-gut, the second gut-to-skin. Of the 47 Crohn's disease patients operated in this series, 13 presented at least one fistula. The series included 4 cases (8.51%) of external and 9 (19.14%) of internal fistula. A complete cure was obtained in 92.3%, the one failure relating to the still incomplete closure of an enterocutaneous fistula treated conservatively. Surgical mortality was nil and morbidity 15.38% (one energy reoperation and one delayed closure of a perineal wound following proctectomy). The present review examines the various types of fistula encountered and their possible treatment.
Annibali
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First Surgical Division, University Hospital, Milan, Italy.
Pietri
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P
D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology* / Q000601:surgery