Management of Enterocutaneous Fistulae in Crohn's Disease

Overview

Journal Gut

Specialty Gastroenterology

Date 1983 Apr 1

PMID 6832624

Citations 9

Authors

P C Hawker

J C Givel

M R Keighley

J Alexander-Williams

R N Allan

Affiliations

Soon will be listed here.

Abstract

The outcome among 39 patients with enterocutaneous fistulae complicating Crohn's disease has been reviewed. The patients were considered in two groups: (1) no disease - all were early postoperative fistulae (n = 9); (2) active disease (i) without abscess formation (n = 16), (ii) with abscess formation (n = 14). Postoperative fistulae with no evidence of active Crohn's disease healed spontaneously. Fistulae in the presence of active disease did not heal even with prolonged medical management. The only effective treatment was excision of the diseased segment from which the fistulae arose and any distal obstruction. None of the fistulae closed surgically has recurred.

Citing Articles

Prevalence of Fistulizing Crohn's Disease in the United States: Estimate From a Systematic Literature Review Attempt and Population-Based Database Analysis.

Schwartz D, Tagarro I, Diez M, Sandborn W Inflamm Bowel Dis. 2019; 25(11):1773-1779.

PMID: 31216573 PMC: 6799946. DOI: 10.1093/ibd/izz056.

Surgical treatment of Crohn's disease.

Fichera A, Michelassi F J Gastrointest Surg. 2007; 11(6):791-803.

PMID: 17562122 DOI: 10.1007/s11605-006-0068-9.

Surgical management of entero and colocutaneous fistulae in Crohn's disease: 17 year's experience.

Poritz L, Gagliano G, McLeod R, MacRae H, Cohen Z Int J Colorectal Dis. 2004; 19(5):481-5.

PMID: 15168043 DOI: 10.1007/s00384-004-0580-x.

Hydrogen peroxide enhanced ultrasound- fistulography in the assessment of enterocutaneous fistulas complicating Crohn's disease.

Maconi G, Parente F, Bianchi Porro G Gut. 1999; 45(6):874-8.

PMID: 10562586 PMC: 1727746. DOI: 10.1136/gut.45.6.874.

Conservative operations for Crohn's disease of the small bowel.

Alexander-Williams J, Haynes I World J Surg. 1985; 9(6):945-51.

PMID: 4082616 DOI: 10.1007/BF01655400.

References

Sheldon G, Gardiner B, Way L, Dunphy J . Management of gastrointestinal fistulas. Surg Gynecol Obstet. 1971; 133(3):385-9. View

Roback S, NICOLOFF D . High output enterocutaneous fistulas of the small bowel. An analysis of fity-five cases. Am J Surg. 1972; 123(3):317-22. DOI: 10.1016/0002-9610(72)90293-0. View

MacFadyen Jr B, Dudrick S, RUBERG R . Management of gastrointestinal fistulas with parenteral hyperalimentation. Surgery. 1973; 74(1):100-5. View

Enker W, Block G . The operative treatment of Crohn's disease complicated by fistulae. A personal consecutive series. Arch Surg. 1969; 98(4):493-9. View

Steinberg D, COOKE W, Alexander-Williams J . Abscess and fistulae in Crohn's disease. Gut. 1973; 14(11):865-69. PMC: 1412837. DOI: 10.1136/gut.14.11.865. View

Eisenberg H, TURNBULL Jr R, Weakley F . Hyperalimentation as preparation for surgery in transmural colitis (Crohn's disease). Dis Colon Rectum. 1974; 17(4):469-75. DOI: 10.1007/BF02587022. View

Reilly J, Ryan J, Strole W, Fischer J . Hyperalimentation in inflammatory bowel disease. Am J Surg. 1976; 131(2):192-200. DOI: 10.1016/0002-9610(76)90096-9. View

MONOD-BROCA P . Treatment of intestinal fistulas. Br J Surg. 1977; 64(10):685-9. DOI: 10.1002/bjs.1800641002. View

Irving M . Local and surgical management of enterocutaneous fistulas. Br J Surg. 1977; 64(10):690-4. DOI: 10.1002/bjs.1800641003. View

10.

Driscoll Jr R, Rosenberg I . Total parenteral nutrition in inflammatory bowel disease. Med Clin North Am. 1978; 62(1):185-201. DOI: 10.1016/s0025-7125(16)31831-4. View

11.

Mullen J, Hargrove W, Dudrick S, FITTS Jr W, Rosato E . Ten years experience with intravenous hyperalimentation and inflammatory bowel disease. Ann Surg. 1978; 187(5):523-9. PMC: 1396546. DOI: 10.1097/00000658-197805000-00010. View

12.

Reber H, Roberts C, Way L, Dunphy J . Management of external gastrointestinal fistulas. Ann Surg. 1978; 188(4):460-7. PMC: 1396834. DOI: 10.1097/00000658-197810000-00003. View

13.

Blackett R, Hill G . Postoperative external small bowel fistulas: a study of a consecutive series of patients treated with intravenous hyperalimentation. Br J Surg. 1978; 65(11):775-8. DOI: 10.1002/bjs.1800651105. View

14.

Sternquist J, Bubrick M, HITCHCOCK C . Enterocutaneous fistula. Dis Colon Rectum. 1978; 21(8):578-81. DOI: 10.1007/BF02586400. View

15.

Rosenberg I . Nutritional support in inflammatory bowel disease. Gastroenterology. 1979; 77(2):393-6. View

16.

Soeters P, Ebeid A, Fischer J . Review of 404 patients with gastrointestinal fistulas. Impact of parenteral nutrition. Ann Surg. 1979; 190(2):189-202. PMC: 1344487. DOI: 10.1097/00000658-197908000-00012. View

17.

Coutsoftides T, Fazio V . Small intestine cutaneous fistulas. Surg Gynecol Obstet. 1979; 149(3):333-6. View

18.

Elson C, Layden T, Nemchausky B, ROSENBERG J, Rosenberg I . An evaluation of total parenteral nutrition in the management of inflammatory bowel disease. Dig Dis Sci. 1980; 25(1):42-8. DOI: 10.1007/BF01312731. View

19.

Pennington L, Hamilton S, Bayless T, Cameron J . Surgical management of Crohn's disease. Influence of disease at margin of resection. Ann Surg. 1980; 192(3):311-8. PMC: 1344907. DOI: 10.1097/00000658-198009000-00006. View