title: Current considerations in the management of rectovaginal fistula from Crohn's disease.
abstract: Rectovaginal fistulas are dreaded complications of Crohn's disease. Accurate assessment is essential for planning management. Treatment options range from observation to medical therapeutics to the need for surgical intervention. Ultimately, establishing reasonable expectations is mandatory when treatment algorithms are considered. In this article, we review the evaluation of these fistulas and the current options to consider in the treatment of Crohn's related rectovaginal fistula.
authors.affiliation: Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors.forename: C D
authors.initials: CD
authors.lastname: Hannaway
authors.forename: T L
authors.initials: TL
authors.lastname: Hull
mesh_terms: D003131:Combined Modality Therapy; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011379:Prognosis; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D012006:Rectovaginal Fistula / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D012007:Rectum / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery
chemical_list: D005765:Gastrointestinal Agents