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 | DOI: 10.17238/issn2072-3180.2019.1.40-45
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