Surgical closure, mainly with glue injection and anti-tumour necrosis factor α, in fistulizing perianal Crohn's disease: A multicentre randomized controlled trial.
Laurent AbramowitzCharlène BrochardFrançois PigotPauline RoumeguereHélène PillantBéatrice Vinson BonnetJean Luc FaucheronAgnès SenéjouxGuillaume BonnaudGuillaume MeuretteJean Marie FayetteCécile TrainGhislain StaumontLaurent SiproudhisDominique BouchardPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2021)
Seton removal alone seems to be no more effective than a secondary surgical step (in particular glue injection) in patients having fistulizing perianal CD controlled by an initial drainage combined with adalimumab. The results should be interpreted with caution.