Anal fistula medical therapy
|
Anal fistula Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Anal fistula medical therapy On the Web |
|
American Roentgen Ray Society Images of Anal fistula medical therapy |
|
Risk calculators and risk factors for Anal fistula medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Pharmocotherapy
- Empiric therapy for anal fistula depends on following factors:[1]
- Location of anal fistula.
- Signs and symptoms of abscess.
- Main stay of therapy is surgical management but antibiotics are given in the following condition:[2][3]
- Immunosuppression
- Diabetes
- Extensive cellulitis
- Prosthetic devices
- High-risk cardiac patient
- Other drugs used for symptomatic relief of anal fistula are:
- Antipyretics and analgesics like acetaminophen, Ibuprofen.
Treatment of underlying cause
- Treatment of anal fistula with Crohn's diseases:
References
- ↑ "www.fascrs.org" (PDF).
- ↑ Whiteford MH, Kilkenny J, Hyman N, Buie WD, Cohen J, Orsay C, Dunn G, Perry WB, Ellis CN, Rakinic J, Gregorcyk S, Shellito P, Nelson R, Tjandra JJ, Newstead G (2005). "Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised)". Dis. Colon Rectum. 48 (7): 1337–42. doi:10.1007/s10350-005-0055-3. PMID 15933794.
- ↑ Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P, Gewitz MH, Shulman ST, Nouri S, Newburger JW, Hutto C, Pallasch TJ, Gage TW, Levison ME, Peter G, Zuccaro G (1997). "Prevention of bacterial endocarditis. Recommendations by the American Heart Association". Circulation. 96 (1): 358–66. PMID 9236458.
- ↑ Sands BE, Blank MA, Diamond RH, Barrett JP, Van Deventer SJ (2006). "Maintenance infliximab does not result in increased abscess development in fistulizing Crohn's disease: results from the ACCENT II study". Aliment. Pharmacol. Ther. 23 (8): 1127–36. doi:10.1111/j.1365-2036.2006.02878.x. PMID 16611273.
- ↑ Sands BE, Anderson FH, Bernstein CN, Chey WY, Feagan BG, Fedorak RN, Kamm MA, Korzenik JR, Lashner BA, Onken JE, Rachmilewitz D, Rutgeerts P, Wild G, Wolf DC, Marsters PA, Travers SB, Blank MA, van Deventer SJ (2004). "Infliximab maintenance therapy for fistulizing Crohn's disease". N. Engl. J. Med. 350 (9): 876–85. doi:10.1056/NEJMoa030815. PMID 14985485.
- ↑ Taxonera C, Schwartz DA, García-Olmo D (2009). "Emerging treatments for complex perianal fistula in Crohn's disease". World J. Gastroenterol. 15 (34): 4263–72. PMC 2744181. PMID 19750568.