| Theme |
Current Topics on Anorectal Disorders |
| Title |
Diagnosis and Management of Crohn's Anal Fistula |
| Author |
Akira Sugita |
Department of Surgery, Yokohama Municipal Hospital |
| Author |
Kazutaka Koganei |
Yokohama City University Medical Center |
| Author |
Hideaki Kimura |
Department of Surgery, Yokohama Municipal Hospital |
| Author |
Yasunobu Yamazaki |
Yokohama City University Hospital |
| Author |
Hiroshi Shimada |
Yokohama City University Hospital |
| Author |
Fumihiko Kitoh |
Department of Surgery, Yokohama Municipal Hospital |
| Author |
Tsuneo Fukushima |
Department of Surgery, Yokohama Municipal Hospital |
| [ Summary ] |
Management of Crohn's anal fistulae is important for good QOL. It is important to make a diagnosis of the type of anal fistula as an intractable fistula with primary lesions or an ordinary fistula, seen as an incidental lesion. For intractable anal fistula such as intersphincteric fistula with multiple external openings, seton treatment is effective along with treatment for concomitant active colitis. Fecal diversion should be recommended for the patients who have extrasphinteric fistula or who have not been helped with seton treatment. |