Updated Crohn’s fistula guidance broadens options, physicians retain ‘ultimate judgement’

The American Society of Colon and Rectal Surgeons has published clinical practice guidelines for the management of patients with cryptoglandular fistulas, rectovaginal fistulas and anorectal fistulas in the presence of Crohn’s disease.“A generally accepted explanation for the cause of anorectal abscess and fistula-in-ano is that an abscess results from obstruction of an anal gland and that a fistula is caused by chronic infection and epithelialization of the abscess drainage tract,” Wolfgang B. Gaertner, MD, MSc, of the division of colon and rectal surgery at the UniversityRead More

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