Современные методы лечения параректальных свищей при болезни Крона

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.

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