Su1973 OUTCOMES OF FECAL DIVERSION FOR PERIANAL CROHN'S DISEASE IN THE ERA OF BIOLOGIC THERAPY: A MULTI-CENTER RETROSPECTIVE STUDY

2020 ◽  
Vol 158 (6) ◽  
pp. S-728
Author(s):  
Jacqueline Reid ◽  
Colin B. Rumbolt ◽  
Robert A. Mitchell ◽  
Cherry Galorport ◽  
Jacqueline Brown ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Retrospective Study ◽  
Crohn's Disease ◽  
Biologic Therapy ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease

scholarly journals Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Rudolf Mennigen ◽  
Britta Heptner ◽  
Norbert Senninger ◽  
Emile Rijcken
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Stoma Reversal ◽  
Definitive Surgery ◽  
Diversion Rate ◽  
Colorectal Resections ◽  
Perianal Crohn's Disease

Aim. To evaluate the results of temporary fecal diversion in colorectal and perianal Crohn’s disease.Method. We retrospectively identified 29 consecutive patients (14 females, 15 males; median age: 30.0 years, range: 18–76) undergoing temporary fecal diversion for colorectal (n=14), ileal (n=4), and/or perianal Crohn’s disease (n=22). Follow-up was in median 33.0 (3–103) months. Response to fecal diversion, rate of stoma reversal, and relapse rate after stoma reversal were recorded.Results. The response to temporary fecal diversion was complete remission in 4/29 (13.8%), partial remission in 12/29 (41.4%), no change in 7/29 (24.1%), and progress in 6/29 (20.7%). Stoma reversal was performed in 19 out of 25 patients (76%) available for follow-up. Of these, the majority (15/19, 78.9%) needed further surgical therapies for a relapse of the same pathology previously leading to temporary fecal diversion, including colorectal resections (10/19, 52.6%) and creation of a definitive stoma (7/19, 36.8%). At the end of follow-up, only 4/25 patients (16%) had a stable course without the need for further definitive surgery.Conclusion. Temporary fecal diversion can induce remission in otherwise refractory colorectal or perianal Crohn’s disease, but the chance of enduring remission after stoma reversal is low.

Effect of Fecal Diversion Alone on Perianal Crohn's Disease

2000 ◽  
Vol 24 (10) ◽  
pp. 1258-1263 ◽  
Author(s):  
Takayuki Yamamoto ◽  
Robert N. Allan ◽  
Michael R.B. Keighley
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease

The Use of Temporary Fecal Diversion in Colonic and Perianal Crohn’s Disease Does Not Improve Outcomes

2017 ◽  
Vol 62 (8) ◽  
pp. 2079-2086 ◽  
Author(s):  
Andrea C. Bafford ◽  
Anastasiya Latushko ◽  
Natasha Hansraj ◽  
Guruprasad Jambaulikar ◽  
Leyla J. Ghazi
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease

scholarly journals Risk of Fecal Diversion in Complicated Perianal Crohn’s Disease

2007 ◽  
Vol 11 (4) ◽  
pp. 529-537 ◽  
Author(s):  
M. H. Mueller ◽  
M. Geis ◽  
J. Glatzle ◽  
M. Kasparek ◽  
T. Meile ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease
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