{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:31:44Z","timestamp":1769506304963,"version":"3.49.0"},"reference-count":24,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Perianal complications of Crohn\u2019s disease are one of the significant reasons for abdominoperineal resection in patients with medically refractory perianal Crohn\u2019s disease. A 35-year-old man with Crohn\u2019s disease with colostomy presented to our clinic due to perianal fistulas. Complete stricture of the anus was observed, and the patient was found unsuitable for the stoma closure. The Turnbull\u2013Cutait procedure was performed and he was discharged on the fifth postoperative day. In the second month after surgery, rectoscopy revealed a 2 cm long pouch on the neorectum. Then, the patient was treated with antibiotics and infliximab. Following the treatment, the symptoms of the patient were regressed. In the 10th postoperative month, a perianal abscess was seen, and the patient was treated with antibiotics. His ileostomy was reversed in the 18th postoperative month without any complications. In the 42nd postoperative month, no complications were reported. This case report presents the index perianal Crohn\u2019s disease case successfully treated with the Turnbull\u2013Cutait procedure.<\/jats:p>","DOI":"10.3390\/life15030460","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T04:29:18Z","timestamp":1741926558000},"page":"460","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical Management of Perianal Crohn\u2019s Disease with the Turnbull\u2013Cutait Procedure: A Case Report"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7499-7155","authenticated-orcid":false,"given":"Arda Ula\u015f","family":"Mutlu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ac\u0131badem University, Istanbul 34638, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan \u00dcmit","family":"\u00dcnal","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ac\u0131badem University, Istanbul 34638, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"G\u00fclmez","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Northshore University Hospital Northwell Health, New York, NY 11030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Can","family":"Sara\u00e7o\u011flu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Atakent Ac\u0131badem Hospital, Istanbul 34303, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erman","family":"Ayta\u00e7","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ac\u0131badem University, Istanbul 34638, T\u00fcrkiye"},{"name":"Department of General Surgery, Atakent Ac\u0131badem Hospital, Istanbul 34303, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Saru\u00e7","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ac\u0131badem University, Istanbul 34638, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1016\/j.gastro.2003.08.025","article-title":"AGA Technical Review on Perianal Crohn\u2019s Disease","volume":"125","author":"Sandborn","year":"2003","journal-title":"Gastroenterology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/S0016-5085(98)70420-2","article-title":"Clinical course of colorectal Crohn\u2019s disease: A 35-year follow-up study of 507 patients","volume":"114","author":"Lapidus","year":"1998","journal-title":"Gastroenterology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1053\/gast.2002.32362","article-title":"The natural history of fistulizing Crohn\u2019s disease in Olmsted County, Minnesota","volume":"122","author":"Schwartz","year":"2002","journal-title":"Gastroenterology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.jamcollsurg.2016.05.017","article-title":"Combined Medical and Surgical Approach Improves Healing of Septic Perianal Crohn\u2019s Disease","volume":"223","author":"Choi","year":"2016","journal-title":"J. Am. Coll. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1159\/000504103","article-title":"Management of Perianal Fistulas in Crohn\u2019s Disease","volume":"35","author":"Seyfried","year":"2019","journal-title":"Visc. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1111\/apt.13356","article-title":"Systematic review with meta-analysis: Faecal diversion for management of perianal Crohn\u2019s disease","volume":"42","author":"Singh","year":"2015","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1097\/DCR.0000000000001834","article-title":"Management of Isolated Anal Strictures in Crohn\u2019s Disease","volume":"63","author":"Lightner","year":"2020","journal-title":"Dis. Colon. Rectum"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"109","DOI":"10.3949\/ccjm.28.2.109","article-title":"Abdominorectal pull-through resection for cancer and for Hirschsprung\u2019s disease: Delayed posterior colorectal anastomosis","volume":"28","author":"Turnbull","year":"1961","journal-title":"Cleve Clin. Q."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/BF02627230","article-title":"A new method of colorectal anastomosis in abdominoperineal resection","volume":"4","author":"Cutait","year":"1961","journal-title":"Dis. Colon. Rectum"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e201625","DOI":"10.1001\/jamasurg.2020.1625","article-title":"Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancer: A Randomized Clinical Trial","volume":"155","author":"Biondo","year":"2020","journal-title":"JAMA Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10151-022-02601-4","article-title":"Surgical outcomes of Turnbull-Cutait delayed coloanal anastomosis with pull-through versus immediate coloanal anastomosis with diverting stoma after total mesorectal excision for low rectal cancer: A systematic review and meta-analysis","volume":"26","author":"Foppa","year":"2022","journal-title":"Tech. Coloproctol."},{"key":"ref_12","unstructured":"(2024, April 12). European Crohn\u2019s and Colitis Organisation\u2014ECCO\u2014P801 Treatment Patterns of Complex Perianal Fistula in Crohn\u2019s Disease in Five European Countries: The PREFACE Study, a Retrospective Chart Review. Available online: https:\/\/ecco-ibd.eu\/publications\/congress-abstracts\/item\/p801-treatment-patterns-of-complex-perianal-fistula-in-crohn-8217-s-disease-in-five-european-countries-the-preface-study-a-retrospective-chart-review.html."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Ishida, T. (2025). A retrospective, observational study to examine the effect of early tumor necrosis factor inhibitor use on rates of surgery for Crohn\u2019s disease in Japan. BMC Gastroenterol., 25.","DOI":"10.1186\/s12876-024-03578-0"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.3904\/kjim.2020.001","article-title":"Impact of early anti-TNF use on clinical outcomes in Crohn\u2019s disease: A nationwide population-based study","volume":"35","author":"Jung","year":"2020","journal-title":"Korean J. Intern. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.14309\/ajg.0000000000002326","article-title":"Management of Perianal Crohn\u2019s Disease","volume":"118","author":"Parian","year":"2023","journal-title":"Am. J. Gastroenterol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1046\/j.1463-1318.2001.00250.x","article-title":"Long-term results of faecal diversion for refractory perianal Crohn\u2019s disease","volume":"3","author":"Panis","year":"2001","journal-title":"Color. Dis."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/codi.12796","article-title":"Factors affecting the fate of faecal diversion in patients with perianal crohn\u2019s disease","volume":"17","author":"Gu","year":"2015","journal-title":"Color. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1007\/s002680010250","article-title":"Effect of fecal diversion alone on perianal Crohn\u2019s disease","volume":"24","author":"Yamamoto","year":"2000","journal-title":"World J. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/DCR.0000000000000732","article-title":"Long-term Quality of Life of Patients With Permanent End Ileostomy: Results of a Nationwide Cross-Sectional Survey","volume":"60","author":"Schiergens","year":"2017","journal-title":"Dis. Colon. Rectum"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jpsychores.2008.09.009","article-title":"Coping and acceptance: The greatest challenge for veterans with intestinal stomas","volume":"66","author":"Krouse","year":"2009","journal-title":"J. Psychosom. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1590\/S0102-67202013000300003","article-title":"Social and family dynamic with patients with definitive intestinal ostomy","volume":"26","author":"Cetolin","year":"2013","journal-title":"Arq. Bras. Cir. Dig."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1007\/s10151-014-1132-1","article-title":"The clinical results of the Turnbull-Cutait delayed coloanal anastomosis: A systematic review","volume":"18","author":"Hallet","year":"2014","journal-title":"Tech. Coloproctol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1002\/bjs.6458","article-title":"Outcomes following Turnbull-Cutait abdominoperineal pull-through compared with coloanal anastomosis","volume":"96","author":"Remzi","year":"2009","journal-title":"Br. J. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1111\/codi.16163","article-title":"Turnbull-Cutait abdominoperineal pull-through operation: The Cleveland Clinic experience in the 21st century","volume":"24","author":"Lavryk","year":"2022","journal-title":"Color. Dis."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/3\/460\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:53:26Z","timestamp":1760028806000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/3\/460"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,14]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["life15030460"],"URL":"https:\/\/doi.org\/10.3390\/life15030460","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,14]]}}}