Origin of fistulas in Crohn's disease.

Abstract:

:In 236 resection specimens of Crohn's disease (127 first excisions and 109 reexcisions) there were 60 specimens with fistulas (excluding anal fistulas): 44 in first excisions and 16 in reexcisions. In primary excisions, 36 fistulas arose in the ileum, three in the colon and five in the ileocecal valve. The majority were located either at the proximal end of a stricture (62%) or within a stricture (31%); four cases (7%) were not associated with strictures. In reexcision specimens, ten fistulas arose at the bowel anastomosis, four arose in the ileum in association with strictures, and two were of doubtful origin. Only four fistulas in primary excisions drained to the skin whereas seven did so in reexcisions.

journal_name

J Clin Gastroenterol

authors

Kelly JK,Preshaw RM

doi

10.1097/00004836-198904000-00015

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

193-6

issue

2

eissn

0192-0790

issn

1539-2031

journal_volume

11

pub_type

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