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The dilemma of Crohn's disease: Ileosigmoidal fistula complicating Crohn's disease

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Diseases of the Colon & Rectum

Summary

Between 1965 and 1975, 27 patients underwent surgical treatment for ileosigmoidal fistulas complicating Crohn's disease at the Cleveland Clinic. There was no death and no anastomotic leak. The preferred procedure is resection of the ileocecal area involved by Crohn's disease with ileocolic anastomosis and a separate segmental resection of the sigmoid colon with colocolic anastomosis. A covering temporary loop ileostomy is used when there is associated pelvic sepsis or small-bowel obstruction.

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References

  1. Farmer RG, Hawk WA, Turnbull RB Jr: Clinical patterns in Crohn's disease: A statistical study of 615 cases. Gastroenterology 68:627, 1975

    PubMed  CAS  Google Scholar 

  2. Fazio VW, Kodner I, Jagelman DG, et al: Parenteral nutrition as primary or adjunctive treatment (Symposium). Dis Colon Rectum 19:574, 1976

    PubMed  CAS  Google Scholar 

  3. Fazio VW, Turnbull RB Jr, Goldsmith MG: Ileorectal anastomosis: A safe surgical technique. Dis Colon Rectum 18: 107, 1975

    Article  PubMed  CAS  Google Scholar 

  4. Garlock JH: Garlock's Surgery of the Alimentary Tract. New York, Appleton-Century-Crofts, 1967, p 270

    Google Scholar 

  5. Nichols RL, Condon RE: Collective review: Preoperative preparation of the colon. Surg Gynecol Obstet 132:323, 1971

    Google Scholar 

  6. Turnbull RB Jr: Surgery for inflammatory bowel disease.In Kirsner JB, Shorter RG (eds): Inflammatory Bowel Disease. Philadelphia, Lea & Febiger, 1975, p 352

    Google Scholar 

  7. Turnbull RB Jr, Weakley FL: Atlas of intestinal Stomas, St. Louis, C. V. Mosby, 1967, p 32

    Google Scholar 

  8. Van Patter WN, Bargen JA, Dockerty MB, et al: Regional enteritis. Gastroenterology 26:347, 1954

    Google Scholar 

  9. Weakley FL, Turnbull RB: Recognition of regional ileitis in the operating room. Dis Colon Rectum 14: 17, 1971

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. The Cleveland Clinic Foundation, Department of Colon and Rectal Surgery, 9500 Euclid Avenue, 44106, Cleveland, Ohio

    Victor W. Fazio M.B., B.S., F.R.A.C.S., Rupert B. Turnbull Jr. M.D., F.A.C.S. & David G. Jagelman M.S., F.R.C.S. (Eng.)

  2. Downstate Medical Center, Brooklyn, New York

    Peter Wilk M.D.

Authors
  1. Victor W. Fazio M.B., B.S., F.R.A.C.S.
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  2. Peter Wilk M.D.
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  3. Rupert B. Turnbull Jr. M.D., F.A.C.S.
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  4. David G. Jagelman M.S., F.R.C.S. (Eng.)
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Fazio, V.W., Wilk, P., Turnbull, R.B. et al. The dilemma of Crohn's disease: Ileosigmoidal fistula complicating Crohn's disease. Dis Colon Rectum 20, 381–386 (1977). https://doi.org/10.1007/BF02587365

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  • DOI: https://doi.org/10.1007/BF02587365

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