Share Facebook



07-30-2011, 12:05 AM   #1
DustyKat
Super Moderator
 
DustyKat's Avatar
 
Join Date: May 2010
Location: New South Wales, Australia
Info Re: Ileal Fistula's

I have posted this in the surgery forum but for those with ileal fistula's they should find the article informative...

The title is not necessarily indicative of the conclusions:

Ileal Crohn's disease is best treated by surgery.

Dusty.
__________________
Mum of 2 kids with Crohn's.
07-30-2011, 12:48 AM   #2
DustyKat
Super Moderator
 
DustyKat's Avatar
 
Join Date: May 2010
Location: New South Wales, Australia
There is no doubt whatsoever that surgery is indicated for an obstructing ileal stricture that fails to respond to medical or endoscopic therapy, for a right iliac fossa mass with internal or external fistulation, for uncontrolled bleeding, or when there is free perforation.
Even with the advent of the biologics it would seem, well from our experience, that surgery is still the only method of successfully treating fistula's that originate in the ileum. Matt had numerous consultations with colorectal surgeons and GI's and they were all the same opinion regarding the treatment of ileal fistula's.

Dusty.
07-30-2011, 02:33 AM   #3
Grumbletum
Senior Member
 
Grumbletum's Avatar
 
Join Date: Dec 2010
Location: Western Isles, United Kingdom

My Support Groups:
Thanks, Dusty, great article. Clear and written in terms that I can understand :-) Much as the thought of surgery scares me, deep down I feel I may be putting off the inevitable and if that is going to allow the disease to wreak further havoc, I fear that more than the surgery.
I'd also recommend anyone, like myself, who is suffering from internal fistula(s) to read Dusty's son's story on this thread.

http://www.crohnsforum.com/showthrea...Matt%27s+story
__________________
Dx Crohn's terminal ileum April 2011
Ileocaecal resection & partial cystectomy Sept 2012
3.5 years happy remission, in mild flare since Feb 2016 with related Portal Vein Thrombosis

Previous: Prednisolone, Mesren, Omeprazole, Infliximab, Azathioprine
Current: Pentasa, Librax, Warfarin
Helen x

Last edited by Grumbletum; 07-30-2011 at 02:36 AM. Reason: to add link
07-30-2011, 03:17 AM   #4
DustyKat
Super Moderator
 
DustyKat's Avatar
 
Join Date: May 2010
Location: New South Wales, Australia
Yikes Helen! You didn't give a warning that it is a novel!

Dusty.
07-30-2011, 11:09 AM   #5
Grumbletum
Senior Member
 
Grumbletum's Avatar
 
Join Date: Dec 2010
Location: Western Isles, United Kingdom

My Support Groups:
Yea, well I didn't want to put them off before they'd even started reading it!!
But seriously folks, the article is great for the clinical point of view and Dusty's massive tome helps with an inkling of the other equally important stuff like the emotional repercussions etc. That and Dusty's grey hairs
Reply

Thread Tools


All times are GMT -5. The time now is 04:28 AM.
Copyright 2006-2017 Crohnsforum.com