Anorectal Lesions and Gastrointestinal Diseases H. Takemura 1 , S. Tsuchiya 1 , H. Suwa 1 , Y. Matsuda 1 1Second Department of Surgery, Yokohama City University pp.309-315
Published Date 1977/3/25
DOI https://doi.org/10.11477/mf.1403112536
  • Abstract
  • Look Inside

 Anorectal lesions associated with gastrointestinal diseases (Crohn's disease, ulcerative colitis and others) were studied. The incidence, clinical course, characteristic findings and treatment of these anorectal lesions are discussed.

 We have treated seven cases of Crohn's disease in the recent four years. Five of them were accompanied with anal fistulas or perianal abscesses. Moreover, rectal strictures were recognized in two of the five cases. These anorectal lesions were not different from other common fistulas or abscesses. Multiple undermined anal fissures and grass anal ulceration were not observed in our cases. Gastrointestinal symptoms in our cases of Crohn's disease were often recognized several years after the occurrence of anorectal lesions. Anorectal lesions in Crohn's disease should be treated according to the local changes and the conditions of the gastrointestinal lesions.

 Of 73 cases of ulcerative colitis diagnosed and treated in these four years, seven (9.6%) were accompanied with such complication as perianal abscesses, and rectal stricture. Perianal abscesses most often occurred in the active stage of total colitis. Fistulas and abscesses in ulcerative colitis are often best treated by simple incision and drainage because of occasionally untoward effect of aggressive operation.

Copyright © 1977, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院