علاج الناسور الشرجي المستقيمي في داء كرون

DOI: 10.1097/DCR.0000000000002473

• Anorectal fistula associated with Crohn's disease is typically managed with a combination of surgical and medical approaches.
• The mainstay of medical management of anorectal Crohn's disease is biological therapy.
• In many instances, medical therapy is combined, at least initially, with a draining seton.
• Draining setons are typically useful in the multimodality therapy of fistulizing anorectal Crohn's disease and may be used for long-term disease control.
• At week 14, a response, defined as more than 50% reduction in the number of draining fistulas, was observed in 195 patients (69%), whereas 87 patients (31%) showed no response.