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Clinics in Colon and Rectal Surgery最新文献

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Colon Cancer: The Young, the Old, and the Ugly 结肠癌:年轻人、老年人和丑陋的人
Pub Date : 2024-07-04 DOI: 10.1055/s-0044-1787882
Beatrice Dionigi
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引用次数: 0
Perianal Fistulizing Crohn's Disease: Outcomes of Surgical Repairs and Current State of Stem Cell-Based Therapies 肛周瘘性克罗恩病:手术修复的效果和干细胞疗法的现状
Pub Date : 2024-05-15 DOI: 10.1055/s-0044-1786543
Aaron J. Dawes, Amy L. Lightner
Perianal fistulizing Crohn's disease is one of the most disabling phenotypes of Crohn's disease, due to the severe impairment in quality of life including social and personal wellbeing. A multimodal approach with patient-tailored care is the key to optimal management of this condition. Medical therapy is needed to optimize the luminal disease, and surgical intervention is required to control any associated perianal sepsis and attempt palliative or definitive fistula repair. While several medical and surgical options are available, the majority of patients continue to have symptomatic disease. Fortunately, this continues to drive novel innovations which are revolutionizing the treatment and outcomes of perianal fistulizing Crohn's disease. However, there continues to be a need for randomized trials and consistent metrics utilized for classification and treatment outcomes in order to accurately describe optimal treatment outcomes.
肛周瘘化性克罗恩病是克罗恩病中致残率最高的表型之一,严重影响患者的生活质量,包括社交和个人健康。对这种疾病进行最佳治疗的关键在于采用多模式方法,并根据患者的具体情况提供护理。内科治疗需要优化管腔疾病,外科干预需要控制任何相关的肛周败血症,并尝试姑息性或确定性瘘管修复。虽然有多种药物和手术疗法可供选择,但大多数患者的疾病仍无症状。幸运的是,这不断推动着新的创新,为肛周瘘性克罗恩病的治疗和疗效带来了革命性的变化。然而,为了准确描述最佳治疗效果,仍然需要进行随机试验,并使用一致的指标来进行分类和治疗结果。
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引用次数: 0
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Clinics in Colon and Rectal Surgery
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