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JCM vol. 3, issue 3, 2010
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FISTULIZING CROHN’S DISEASE. A LITERATURE REVIEW AND OUR EXPERIENCE
Contents:
FISTULIZING CROHN’S DISEASE. A LITERATURE REVIEW AND OUR EXPERIENCE
Review Article
Author: P. Penchev
Clinic of Gastroenterology – UMHAT Tsaritsa Yoanna – ISUL, Sofia
Clinic of Gastroenterology – UMHAT Tsaritsa Yoanna – ISUL, Sofia
Contact Address: P. Penchev, Clinic of Gastroenterology – UMHAT Tsaritsa Yoanna – ISUL, 8 Bialo More St., Sofia – 1527, e-mail: penchev.dr@gmail.com, tel. +359 2 9432519
Keywords: Crohn’s disease, fistulas (enteroenteral, enterocutaneus, perianal, rectovesical, rectovaginal)
Abstract
Fistulizing Crohn‘s disease is associated with high morbidity and worsened quality of life. It is resistant to conservative treatment, while the surgery is often followed by local recurrence and fistulization in other areas. For a period of 19 years (1990-2009 years), we found fistulization in 37 (26.81%) from the observed 138 patients with Crohn‘s disease in the Clinic of Gastroenterology (CGE) of UMHAT Ts. Yoanna. Fistulas were enteroenteral in 25 patients (18.11%), perianal – in 16 (11.59%), enterocutaneus - in 7 (5.07%), rectovaginal – in 7 (5.07%), and enterovesical – in 1 (0.72%).
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