Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10):906-918. doi:10.7326/0003-4819-135-10-200111200-00011.

Slides:



Advertisements
Similar presentations
H.Tayar*i, A.Daghfou*s, F.Jabnoun**, K.Bouzaid**i, L.Rezgui Marhou*l Radiology services Trauma center*, Tunisia Taher Maamouris Hospita**l, Nabeul GI27.
Advertisements

Perianal abscess & Anal fistulae
Recent Advances in Surgical Management of Complex Cryptoglandular Anal Fistula YK Fong, Queen Mary Hospital.
Anal Pain and Discharge
Anal Fistula What are the causes of fistula and what is Eisenhammer's theory? What is Park's classification of anal fistula? What are the options for managing.
Imaging of Anal Fistula
The Best Surgical Treatment for Fistula-in-ano
Perianal suppuration- Abscess & Fistula
Journal Club Case Presentation
ABSTRACT ID NO:1030. Why this study?  Imaging techniques for perianal fistula usually consist of two-dimensional sequences like axial and sagittal T2,STIR.
Fistula-in-ano: a probing of the treatment options
Anorectal abscess on call Jim Hill Manchester Royal Infirmary.
Division of General Surgery, St Paul's Hospital Z. Rahimi M. Hoorzad American journal of surgery, May 2010.
Fistulotomy and Setons Mr Graham Williams Consultant Colorectal Surgeon Royal Wolverhampton Hospitals NHS Trust.
Basic care of colorectal disease
ANORECTAL ABSCESSES AND FISTULA-IN-ANO
TREATMENT.
Hole in One Dr. S Sebastian Dept of Gastroenterology Hull.
Date of download: 6/3/2016 From: Mortality Rates in Elderly Patients Who Take Different Angiotensin-Converting Enzyme Inhibitors after Acute Myocardial.
Date of download: 6/3/2016 From: Sex, Age, and Birth Cohort Effects in Colorectal Neoplasms: A Cohort Analysis Ann Intern Med. 2010;152(11): doi: /
Date of download: 6/3/2016 From: Elevated Plasma Homocysteine Level Is an Independent Predictor of Coronary Heart Disease Events in Patients with Type.
Date of download: 6/6/2016 From: Comparative Effectiveness of Pain Management Interventions for Hip Fracture: A Systematic Review Ann Intern Med. 2011;155(4):
Date of download: 6/6/2016 From: Psychopharmacologic Treatment Strategies for Depression, Bipolar Disorder, and Schizophrenia Ann Intern Med. 2001;134(1):47-60.
R2 정상완. Introduction  Perianal fistulas : ¼ of Crohn’s disease (CD)  physical and psychologic morbidity with a long-term risk of proctectomy  metronidazole,
+ Are MRI scans of any use prior to surgery for anal fistulae Authors: Patrick Jasinski, Deepak Pai, Geeta Kaur Presented by: Wajiha Arshad.
Date of download: 6/23/2016 From: Meta-Analysis: Acupuncture for Low Back Pain Ann Intern Med. 2005;142(8): doi: /
Date of download: 6/24/2016 From: Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee: A Randomized, Controlled Trial Ann.
Date of download: 6/25/2016 From: Interferon Therapy Reduces the Risk for Hepatocellular Carcinoma: National Surveillance Program of Cirrhotic and Noncirrhotic.
ANORECTAL FISTULA Treatment
Date of download: 7/5/2016 From: Sunscreen and Prevention of Skin Aging: A Randomized Trial Ann Intern Med. 2013;158(11): doi: /
Date of download: 7/6/2016 From: Can Inexpensive Signs Encourage the Use of Stairs? Results from a Community Intervention Ann Intern Med. 1998;129(5):
Date of download: 9/16/2016 From: Fluorouracil plus Levamisole as Effective Adjuvant Therapy after Resection of Stage III Colon Carcinoma: A Final Report.
Date of download: 9/17/2016 From: Topical Treatment of Pressure Ulcers with Nerve Growth Factor: A Randomized Clinical Trial Ann Intern Med. 2003;139(8):
Date of download: 9/19/2016 From: The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfaction with Care Ann.
Date of download: 9/20/2016 From: Breast Cancer in Black Women Ann Intern Med. 1996;124(10): doi: / Age-specific.
From: Screening for Syphilis Infection in Pregnancy: U. S
From: Two Ways of Knowing: Big Data and Evidence-Based Medicine
Dr Amit Gupta Associate Professor Dept Of Surgery
Ann Intern Med. 2010;153(7): doi: / Figure Legend:
Fistula in ano.
From: High-Dose Melphalan and Autologous Stem-Cell Transplantation in Patients with AL Amyloidosis: An 8-Year Study Ann Intern Med. 2004;140(2):85-93.
From: Effects of Low-Carbohydrate and Low-Fat DietsA Randomized Trial
Ann Intern Med. 2005;143(6): doi: / Figure Legend: Flow of evidence.
Date of download: 10/18/2017 Copyright © ASME. All rights reserved.
Anorectal Abscesses Several potential spaces around anorectum AE/
Ann Intern Med. 1999;130(6): doi: / Figure Legend:
Ann Intern Med. 1995;123(2): doi: / Figure Legend:
From: Systematic Review: Strategies for Using Exercise Therapy To Improve Outcomes in Chronic Low Back Pain Ann Intern Med. 2005;142(9): doi: /
From: The Evolving Diabetes Burden in the United States
From: Long-Term Outcome of Anti–Glomerular Basement Membrane Antibody Disease Treated with Plasma Exchange and Immunosuppression Ann Intern Med. 2001;134(11):
From: Screening for Lung Cancer With Low-Dose Computed Tomography: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation.
From: Supplemental Screening for Breast Cancer in Women With Dense Breasts: A Systematic Review for the U.S. Preventive Services Task Force Ann Intern.
Patients and methodology
Perianal suppuration anal abscess-fistula
From: Upper Endoscopy for Gastroesophageal Reflux Disease: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians.
From: Exercise Tomographic Thallium-201 Imaging in Patients with Severe Coronary Artery Disease and Normal Electrocardiograms Ann Intern Med. 1994;121(11):
Anal canal & rectum Anatomy physiology.
CASE DISCUSSION: Crohn's disease patient with bad perianal disease- are new therapies any help? Alana Wichmann, APN, MSN, FNP, Advanced Practice Nurse,
Volume 121, Issue 5, Pages (November 2001)
Figure 7 Treatment algorithm for perianal fistulizing disease
Figure 4 Simple perianal fistula
Imaging of Perianal Fistulas
Christine Hoeffel CHU Reims
Endoscopic ultrasound for perianal Crohn's disease: Disease and fistula characteristics, and impact on therapy  Adi Lahat, Yehudit Assulin, Marc Beer-Gabel,
Treatment of fistulizing Crohn's disease
A 31-Year-Old Patient With Colitis and Perianal Disease
AGA technical review on perianal Crohn’s disease
Management of Perianal Crohn’s Disease
Presentation transcript:

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Anatomic relationships in the perianal region.Modified with permission from: Fry RD, Kodner IJ. Anorectal disorders. Clin Symp. 1985; 37:2-32. Modified figure copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / The classification system of Parks and colleagues.A. A superficial fistula tracks below both the internal anal sphincter and external anal sphincter complexes. B. An intersphincteric fistula tracks between the internal anal sphincter and the external anal sphincter in the intersphincteric space. C. A transsphincteric fistula tracks from the intersphincteric space through the external anal sphincter. D. A suprasphincteric fistula leaves the intersphincteric space over the top of the puborectalis and penetrates the levator muscle before tracking down to the skin. E. An extrasphincteric fistula tracks outside of the external anal sphincter and penetrates the levator muscle into the rectum. Modified with permission from reference 19. Modified figure copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Surgical approach to perianal abscess drainage.A. Simple incision and drainage procedure for an abscess. B. Incision and drainage followed by placement of a mushroom drainage catheter for an abscess. Copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Placement of a noncutting seton.A noncutting seton is a suture or drain that is threaded into the cutaneous orifice of a perianal fistula, through the fistula tract, across the mucosal orifice of the fistula into the rectum, and through the rectum across the anus, where the two ends of the suture or drain are loosely tied. Copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Fistulotomy.In the absence of active proctocolitis, simple low trans-sphincteric, intersphincteric, and superficial fistulas can be treated with a fistulotomy. Copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Endorectal advancement flap.A. The fistula tract is probed to identify the internal opening of the fistula. B. The internal opening of the fistula tract is incised. C. A flap of tissue (including mucosa, submucosa, and circular muscle) around the site of the resected internal opening of the fistula is incised. D. The flap is pulled down to cover the site of the resected internal opening of the fistula. Copyright 2000, Mayo Clinic. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 6/9/2016 From: Diagnosis and Treatment of Perianal Fistulas in Crohn Disease Ann Intern Med. 2001;135(10): doi: / Treatment algorithm for perianal Crohn disease.If the fistula is simple, endorectal advancement flap (asterisk) or fistulotomy (†) can be considered. Use of infliximab should be favored if the fistula is complex, recurrent, or associated with active rectal inflammation (‡). 6-MP = 6-mercaptopurine; AZA = azathioprine; EUS = endoscopic ultrasonography; MRI = magnetic resonance imaging. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2025 SlidePlayer.com. Inc. All rights reserved.