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A 31-Year-Old Patient With Colitis and Perianal Disease

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Presentation on theme: "A 31-Year-Old Patient With Colitis and Perianal Disease"— Presentation transcript:

1 A 31-Year-Old Patient With Colitis and Perianal Disease
Michael J. Rosen, David A. Schwartz  Clinical Gastroenterology and Hepatology  Volume 8, Issue 1, Pages (January 2010) DOI: /j.cgh Copyright © 2010 AGA Institute Terms and Conditions

2 Figure 1 Goal of seton placement in conjunction with anti-TNF therapy in the management of Crohn's perianal fistulas. Anti-TNF treatment of a complex fistula without seton drainage leaves the potential for premature closing of the internal and external fistula openings, creating an abscess cavity. Seton placement before anti-TNF treatment controls fistula healing, allowing the inflammation to be treated completely and the exudate drained before track closure. Clinical Gastroenterology and Hepatology 2010 8, 10-14DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions

3 Figure 2 Algorithm for the medical and surgical management of Crohn's perianal fistulas. Clinical Gastroenterology and Hepatology 2010 8, 10-14DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions


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