Surgical Options for the Treatment of Perianal and Anovaginal Fistulas in the Setting of Ileoanal Pouch Crohn's Disease: Experience of a Tertiary Center.
Ana M Otero-PiñeiroTracy HullStefan HolubarKarina E PedersenNihal AykunMegan ObiRobert ButlerScott R SteeleAmy L LightnerPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2023)
Pouch patients who develop perianal disease are difficult to treat, sometimes requiring pouch excision. However, when medical treatment alone is not effective, a multidisciplinary approach including surgical intervention can result in complete fistula healing in more than half of the cases.