grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2025-184-4-102-109grekov-2640Research ArticleОБЗОРЫREVIEWSСовременные методы лечения параректальных свищей при болезни КронаActual methods of treatment of parar ectal fistulas in Crohn’s diseasehttps://orcid.org/0000-0002-8432-9182КаманинА. А.KamaninA. A.

Каманин Алексей Александрович, кандидат медицинских наук, доцент кафедры хирургии общей с клиникой

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Kamanin Alexey A., Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with Clinic

6-8, L’va Tolstogo str., Saint Petersburg, 197022

alexkamanin@yandex.ruhttps://orcid.org/0009-0006-3451-5733НомоконовД. Г.NomokonovD. G.

Номоконов Дмитрий Георгиевич, старший лаборант кафедры хирургии общей с клиникой

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Nomokonov Dmitry G., Senior Assistant of the Department of General Surgery with Clinic

6-8, L’va Tolstogo str., Saint Petersburg, 197022

jackwilshere998@gmail.comhttps://orcid.org/0009-0000-0814-1914ЧеминаваР. В.CheminavaR. V.

Чеминава Реваз Валерьянович, доктор медицинских наук, профессор кафедры хирургии общей с клиникой

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Cheminava Revaz V., Dr. of Sci. (Med.), Professor of the Department of General Surgery with Clinic

6-8, L’va Tolstogo str., Saint Petersburg, 197022

jackwilshere998@gmail.comhttps://orcid.org/0000-0001-7395-7020МорозовВ. П.MorozovV. P.

Морозов Виктор Петрович, доктор медицинских наук, профессор, зав. кафедрой хирургии общей с клиникой

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Morozov Victor P., Dr. of Sci. (Med.), Professor, Head of the Department of General Surgery with Clinic

6-8, L’va Tolstogo str., Saint Petersburg, 197022

vmoroz7@yandex.ruПервый Санкт-Петербургский государственный медицинский университет имени академика И. П. ПавловаРоссияPavlov UniversityRussian Federation2025221020251844102109Copyright © Каманин А.А., Номоконов Д.Г., Чеминава Р.В., Морозов В.П., 20252025Каманин А.А., Номоконов Д.Г., Чеминава Р.В., Морозов В.П.Kamanin A.A., Nomokonov D.G., Cheminava R.V., Morozov V.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2640

Лечение перианальной формы болезни Крона на сегодняшний день вызывает множество вопросов ввиду сложности патогенеза и отсутствия разработанных рекомендаций для лечения этого заболевания. Неэффективность проводимых операций, частые обострения и рецидивы болезни, а также высокая вероятность развития анальной инконтиненции и стриктур прямой кишки – это важные вопросы, которые требуют решения. В настоящей статье рассматриваются различные варианты лечения свищей при перианальной форме болезни Крона. В связи с тем, что авторы высказывают противоречивые суждения, а также из-за небольшого количества наблюдений и отсутствия четких критериев для оценки результатов, сделать объективные выводы об эффективности используемых методов лечения затруднительно. Необходимо проведение дальнейших исследований с более достоверной доказательной базой.

The treatment of perianal Crohn’s disease remains a significant challenge due to the complexity of its pathogenesis and the lack of standardized treatment guidelines. The high rate of surgical failure, frequent exacerbations and recurrences, as well as the risks of anal incontinence and rectal strictures, highlight the need for more effective therapeutic strategies. This review examines various treatment approaches for pararectal fistulas in perianal Crohn’s disease. However, conflicting findings in the literature, the limited number of clinical studies, and the absence of standardized criteria for evaluating treatment outcomes make it difficult to draw definitive conclusions about the efficacy of existing therapeutic modalities. Further well-designed studies with a stronger evidence base are essential to establish optimal treatment strategies.

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The authors declare that there are no conflicts of interest present.