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Fistulizing Crohn’s Disease

Felley C.a · Mottet C.a · Juillerat P.a · Pittet V.c · Froehlich F.a, b · Vader J.-P.c · Michetti P.a · Gonvers J.-J.a

Author affiliations

aDivision of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, bGastrointestinal Department, University of Basle, Basle, and cHealthcare Evaluation Unit, Institute of Social and Preventive Medicine, University of Lausanne, Lausanne, Switzerland

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Digestion 2007;76:109–112

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: February 07, 2008
Issue release date: February 2008

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

Abstract

Fistulas are common in Crohn’s disease. A population-based study has shown a cumulative risk of 33% after 10 years and 50% after 20 years. Perianal fistulas were the most common (54%). Medical therapy is the main option for perianal fistula once abscesses, if present, have been drained, and should include antibiotics (both ciprofloxacin and metronidazole) and immunomodulators. Infliximab should be reserved for refractory patients. Surgery is often necessary for internal fistulas.

© 2008 S. Karger AG, Basel


References

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: February 07, 2008
Issue release date: February 2008

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG


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