title: Current treatment of rectovaginal fistula in Crohn's disease.
abstract: Rectovaginal fistula (RVF) continues to be the most difficult perianal manifestation of Crohn's disease to treat. This devastating and disabling complication has a significant impact on patients' quality of life and presents unique management challenges. Current therapeutic approaches include many medical therapeutics and surgical treatments with a wide range of success rates reported. However, current evidence is lacking to support any recommendation. The choice of repair depends on various patient and disease factors and basic surgical tenets. In this article, we review the current options to consider in the treatment of Crohn's-related RVF, and try to evaluate their effects on fistulae closure and quality of life.
authors: Department of General Surgery, Wuxi People's Hospital of Nanjing Medical University, Jiangsu Province, China. zhuyanfei_2002@163.com
authors: Yan-Fei
authors: YF
authors: Zhu
authors: Guo-Qing
authors: GQ
authors: Tao
authors: Ning
authors: N
authors: Zhou
authors: Chen
authors: C
authors: Xiang
mesh_terms: D002986:Clinical Trials as Topic; D003424:Crohn Disease / Q000150:complications*; D005260:Female; D006801:Humans; D011788:Quality of Life; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000628:therapy*; D014945:Wound Healing