Combined strategies following surgical drainage for perianal fistulizing Crohn's disease: failure rates and prognostic factors.
A HerissayL SiproudhisE Le Balc'hA Merlini L'HeritierM DewitteT WallenhorstG BouguenCharlène BrochardPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2020)
Combined strategies for perianal fistulizing CD lead to a failure rate of 36% at 5 years. Where advisable, fistulotomy may be preferred because it has a lower rate of recurrence. The benefits of immunosuppressants require a dedicated prospective randomized trial.