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Scott Humphrey J. M.S. F.R.C.S.; Northover, John M. A. M.S., F.R.C.S.
Diseases of the Colon & Rectum: September 1996
doi: 10.1007/BF02054696
Original Contributions: PDF Only

PURPOSE: PURPOSE:This study was designed to evaluate the operative treatments performed on patients with perianal Crohn's disease at a tertiary referral colorectal university hospital and to determine the efficacy of management by assessing patient satisfaction.

METHODS: METHODS:A retrospective survey included 59 patients with perianal Crohn's disease who had undergone surgery during the period of 1991 to 1993, inclusive.

RESULTS: RESULTS:Twenty-seven patients were treated by laying the fistula open (81 percent successful), and another 27 cases were treated with a loose seton (85 percent successful). Five cases were complicated fistulas and underwent diversionary stomas as part of a primary procedure. Overall success rate, as judged by patient satisfaction, was 83 percent.

CONCLUSION: CONCLUSION:Conservative surgery has a role in management of perianal Crohn's disease. Patient satisfaction can be achieved without complete healing. Better preoperative assessment may improve results further.

© The ASCRS 1996