Profile of Crohn’s Disease Patients Who Underwent Anorectal Examination under Anesthesia
| Autor: | Rogerio Souza Medrado de Alcantara, Jamile Caramello Ortins Sampaio, F.C.R. Fidelis, Lina Maria Goes de Codes, Alexandre Lopes de Carvalho, Marcelo da Silva Barreto, Aline de Oliveira Trajano, Natalie Fernanda Baqueiro Sena |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Crohn’s disease
medicine.medical_specialty Seton placement Disease RC799-869 Inflammatory bowel disease 03 medical and health sciences 0302 clinical medicine medicine Abscess anorectal eua Crohn's disease business.industry Gastroenterology Perianal disease seton Diseases of the digestive system. Gastroenterology anal fistulas medicine.disease Infliximab Surgery crohn’s disease 030220 oncology & carcinogenesis Examination Under Anesthesia 030211 gastroenterology & hepatology business infliximab Anorectal EUA medicine.drug |
| Zdroj: | Journal of Coloproctology (Rio de Janeiro) v.41 n.3 2021 Journal of Coloproctology (Rio de Janeiro. Online) Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP Journal of Coloproctology, Vol 41, Iss 03, Pp 275-280 (2021) Journal of Coloproctology (Rio de Janeiro), Volume: 41, Issue: 3, Pages: 275-280, Published: 08 NOV 2021 |
| Popis: | Introduction Crohn’s disease (CD) is an inflammatory bowel disease, and in ∼ 30% of cases it is associated with perianal manifestations. To identify the extent of the damage and to implement an appropriate treatment, anorectal examination under anesthesia (EUA) is fundamental. Objective To describe the profile of patients who underwent anorectal EUA in university and private hospitals in the state of Bahia, Brazil. Methodology A retrospective, descriptive study with 46 patients who underwent anorectal EUA between March, 2016 and November, 2019. Results A total of 62 anorectal EUAs were performed in 46 patients. With an average age of 36.8 years, the female gender was predominant (52.2%) among these patients. Anal fistulas were the most frequent findings (83.8%), and in most cases they were treated with a seton placement (69.4%). The main recommended surgical indication was a proper evaluation and identification of perianal disease, followed by drainage of the abscess and therefore immunobiological therapy (59.6%). Conclusion In the present study, the profile of CD patients was similar to those found in the literature, with a high rate of complex anal fistulas. Additional studies are still necessary to further comprehend and treat this particular and debilitating manifestation of the disease. |
| Databáze: | OpenAIRE |
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