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作 者:Nan Lan Xianrui Wu Bo Shen
机构地区:[1]Center for Inflammatory Bowel Disease,Columbia University Irving Medical Center/NewYork Presbyterian Hospital,New York,NY,USA [2]Department of Colorectal Surgery,The 6th Hospital of Sun Yat-Sen University,Guangzhou,Guangdong,P.R.China
出 处:《Gastroenterology Report》2023年第1期78-87,共10页胃肠病学报道(英文)
摘 要:Patients with Crohn’s disease frequently suffer from fistula resulting from adverse sequelae of persistent complicated active disease or surgical intervention.Fistula affects a patient’s quality of life and is directly associated with the need for surgical intervention.Diagnosis of fistula can be made through CT enterography,MR enterography,gastrograffin-based imaging,and transanal ultrasound.Treatment for fistula mainly consists of medication,endoscopic procedures,and surgery.There are emerging approaches under current investigation,such as stem cell therapy.The results showed a decent response in patients with perianal and rectovaginal fistula with minimal side effects.Further investigation is still needed for other internal fistula.
关 键 词:Crohn’s disease FISTULA perianal disease stem cells THERAPY
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