Opzioni chirurgiche nel trattamento della malattia di Crohn a localizzazione perianale

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P. DANELLI, C. BARTOLUCCI, G.M. SAMPIETRO1, V. PANIZZO, A. SARTANI, G. MACONI, F. PARENTE, A.M. TASCHIERI

Ann. Ital. Chir., LXXIV, 6, 2003

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Introduction: About 40% of patients with Crohn’s disease (CD) have a perianal involvement. Despite the recent introduction of anti-TNF antibody, this therapy has uncertain long-term results and surgery still remains a major treatment option. Aims & Methods: This study relates our experience in surgical management of perianal CD without anti-TNF treatment. From July 92 to February 02, 37 patients with perianal Crohn’s disease were treated, 43 underwent local operations or faecal diversion for fistulas and/or abscesses. Patients not requiring surgery or in therapy with anti-TNF· were excluded from the study. We analysed the outcome of surgical treatment for perianal CD.