{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:33:32Z","timestamp":1792701212999,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T00:00:00Z","timestamp":1454976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Anal fistula in Crohn's disease is frequently an intractable condition. Methods of treatment are still debated because the results of various procedures are unsatisfactory. Available studies show that results can be improved using a combination of surgical and medical methods. Most patients undergo rather palliative than radical, curative procedures such as incision and drainage of abscesses and prolonged non\u2010cutting seton placement. Surgery is combined today with biological therapy using infliximab, a murine\u2010human chimeric monoclonal antibody against <jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>\u2010\u03b1 or adalimumab a human monoclonal anti\u2010<jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content> antibody to increase the healing process and in an attempt to prevent fistula recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of 23 patients who were treated for anal fistulas in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>rohn's disease between 2012 and 2014 were retrospectively evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 10 (43%) males and 13 females. The mean age was 39 years (range 29\u201360 years). Median duration of <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content> before present treatment was 6 years (range 1\u201315 years). Closure of all fistulas in 6 months was achieved in eight (35%) patients, whereas reduction of at least 50% from base line in the number of draining fistulas occurred in four (17%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Palliative and combined therapy for anal fistulas in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>rohn's disease with surgery and infliximab or adalimumab therapy is an effective treatment for some patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13474","type":"journal-article","created":{"date-parts":[[2016,2,10]],"date-time":"2016-02-10T06:24:24Z","timestamp":1455085464000},"page":"148-151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Palliative treatment of anal fistulas in <scp>C<\/scp>rohn's 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Computer Science and Statistics Pozna\u0144 University of Medical Sciences  Pozna\u0144 Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"\u0141ykowska\u2010Szuber","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Human Nutrition, and Internal Medicine Pozna\u0144 University of Medical Sciences  Pozna\u0144 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