The dilemma of Crohn's disease: Ileosigmoidal fistula complicating Crohn's disease |
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Authors: | Victor W. Fazio M.B. B.S. F.R.A.C.S. Peter Wilk M.D. Rupert B. Turnbull Jr. M.D. F.A.C.S. David G. Jagelman M.S. F.R.C.S. |
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Affiliation: | (1) The Cleveland Clinic Foundation, Department of Colon and Rectal Surgery, 9500 Euclid Avenue, 44106 Cleveland, Ohio;(2) Downstate Medical Center, Brooklyn, New York |
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Abstract: | 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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