How are symptomatic enteroenteric fistulas treated in inflammatory bowel disease (IBD)?

Updated: Oct 17, 2017
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Answer

Symptomatic enteroenteric fistulas are generally resected, although recurrence is common. Postoperative medical therapy often prevents recurrence, although data are lacking regarding efficacy. A meta-analysis of 9 randomized trials suggested that 5-ASA preparations provide a very modest benefit for maintenance. [85] The preferred program of prevention varies between immunomodulators and biologic therapy.


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