Evaluation of surgery for perianal Crohn's fistulas

Dis Colon Rectum. 1996 Sep;39(9):1039-43. doi: 10.1007/BF02054696.


Purpose: This study was designed to evaluate the operative treatments performed on patients with perianal Crohn's disease at a tertiary referral colorectal university hospital and to determine the efficacy of management by assessing patient satisfaction.

Methods: A retrospective survey included 59 patients with perianal Crohn's disease who had undergone surgery during the period of 1991 to 1993, inclusive.

Results: Twenty-seven patients were treated by laying the fistula open (81 percent successful), and another 27 cases were treated with a loose seton (85 percent successful). Five cases were complicated fistulas and underwent diversionary stomas as part of a primary procedure. Overall success rate, as judged by patient satisfaction, was 83 percent.

Conclusion: Conservative surgery has a role in management of perianal Crohn's disease. Patient satisfaction can be achieved without complete healing. Better preoperative assessment may improve results further.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Crohn Disease / complications
  • Crohn Disease / surgery*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Male
  • Middle Aged
  • Rectal Fistula / etiology
  • Rectal Fistula / surgery*
  • Retrospective Studies
  • Treatment Outcome