Clinical exploration of colon pull-through delayed anal anastomosis in the treatment of complex perianal Crohn's disease
10.3760/cma.j.cn101480-20240712-00078
- VernacularTitle:结肠拖出式延期肛管吻合术在复杂直肠肛周克罗恩病中的临床应用探讨
- Author:
Songlin WAN
1
;
Qianwen TU
1
;
Zhao DING
1
Author Information
1. 武汉大学中南医院结直肠肛门外科 炎症性肠病外科诊疗中心，武汉 430071
- Publication Type:Journal Article
- Keywords:
Crohn's disease;
Rectum;
Anal canal;
Colon pull-through delayed anal anastomosis
- From:
Chinese Journal of Inflammatory Bowel Diseases
2025;09(1):48-52
- CountryChina
- Language:Chinese
-
Abstract:
Crohn's disease (CD) is an autoimmune disease with an unclear pathogenesis, primarily affecting the digestive tract. Perianal involvement represents a complex form of CD. Refractory proctoanal CD is a major cause of rectal resection and permanent anal sphincter dysfunction in patients. The colon pull-through with delayed anastomosis of the anal canal involves the resection of the diseased rectum and the management of the dentate line and anal canal. After the pulled-through colon has adhered to the anal canal, a revision and anastomosis are performed, aiming to preserve anal function and enhance the patients' quality of life. The specific criteria and timing for selecting this surgical approach for refractory proctoanal CD merit further discussion and investigation.
