Surgical treatment of ileosigmoid fistulas in Crohn's disease
10.3760/cma.j.issn.1007-631X.2016.04.018
- VernacularTitle:克罗恩病合并回肠乙状结肠瘘的外科处理
- Author:
Wei ZHOU
;
Jianjian XIANG
;
Wei LIU
;
Liang XU
;
Bangbo XIA
;
Qian CAO
- Publication Type:Journal Article
- Keywords:
Crohn disease;
Surgical procedures,operative;
Fistula;
Ileum;
Colon
- From:
Chinese Journal of General Surgery
2016;31(4):322-324
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis and surgical treatment of ileosigmoid fistulas (ISF) complicated by Crohn's disease (CD).Methods 13 CD patients with ISF were collected.Patients' clinical data,diagnostic methods,surgical procedures and outcomes were reviewed.Results Suspected or definite diagnosis was suggested by preoperative imaging in 12 patients.All 13 patients received surgery.Ileal lesions were all removed,while sigmiod fistula were repaired in 11 patients and partially resected in 2 patients.11 patients had a temporary ileostomy.All the patients recovered well,with 3 cases suffering from postoperative complications.Conclusions The diagnosis of ISF can be established preoperatively,and treatment should be individualized to patient' condition.
