VAAFT (video-assisted anal fistula treatment) в лечении перианальных проявлений болезни Крона (литературный обзор)
Автор: Данилов М.А., Поздняков С.В., Атрощенко А.О., Николаева А.О.
Журнал: Московский хирургический журнал @mossj
Статья в выпуске: 1 (65), 2019 года.
Бесплатный доступ
Свищи прямой кишки одно из самых распространенных заболеваний в колопроктологии, однако патогенез возникновения свищей у пациентов с болезнью Крона иной. Хирургическое лечение перианальных проявлений болезни Крона проходит по тем же стандартам, что и при крипто-гландулярных свищах прямой кишки, однако результаты лечения остаются неутешительными. В отличие от других методик, VAAFT является наиболее безопасной и миниинвазивной процедурой, позволяющей точно визуализировать свищевой ход, идентифицировать вторичные ходы, ответвления и затеки, при этом не приводящей к такому серьезному осложнению, как недостаточность анального сфинктера. Данная методика является актуальной,в виду отсутствиякрупных рандомизированных исследований, с помощью которых можно было получить отдаленные и качественные результаты.
Болезнь крона, перианальные осложнения, vaaft-методика
Короткий адрес: https://sciup.org/142221751
IDR: 142221751 | УДК: 616.352-007.253 | DOI: 10.17238/issn2072-3180.2019.1.40-45
VAAFT in the treatment of perianal Crohn's disease (literature review)
Fistula in ano is one of the most common diseases in coloproctology, but the pathogenesis of fistula in patients with Crohn’s disease is different. Surgical treatment of perianal Crohn’s disease is carried out according to the same rules as in case of crypto-glandular rectal fistula, however, the results of treatment remain disappointing. Unlike other methods, VAAFT is the most safe and minimally invasive procedure that allows you to accurately visualize the fistulous primary and secondarytract, branches and flows, while not leading to such a serious complication as anal incontinence. This crown is relevant, due to the lack of large randomized studies, with the help of which it was possible to obtain long-term and qualitative results.This technique is relevant, in the absence of large randomized trials in which it was possible to get a long-term and high-quality results.
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