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- Title
Problem with Hookups: Perianal Fistula After Ileal Pouch-Anal Anastomosis.
- Authors
Djalal, Arafa; Wong, Serre-Yu; Colombel, Jean-Frédéric; Ungaro, Ryan; Kayal, Maia
- Abstract
This article discusses a case study of a 33-year-old woman with ulcerative colitis who developed perianal fistulas after undergoing ileal pouch-anal anastomosis (IPAA) surgery. The patient had a history of pouchitis and was eventually diagnosed with Crohn's disease-like pouch inflammation (CDLPI). The article explores the incidence and classification of CDLPI and discusses the management options for pouch-related fistulas, including the use of anti-tumor necrosis factor (anti-TNF) drugs. The case study demonstrates successful healing of the fistulas with infliximab treatment. The article emphasizes the importance of thorough evaluation and individualized management for patients with pouch-related fistulas.
- Subjects
RESTORATIVE proctocolectomy; FISTULA; CROHN'S disease; INFLAMMATORY bowel diseases; ANAL cancer
- Publication
Digestive Diseases & Sciences, 2024, Vol 69, Issue 4, p1102
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-024-08344-6