Perianal fistulizing Crohn's disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients with perianal fistulizing CD who meeting the WHO diagnostic criteria; (2) Age between 16 and 60 years old and any gender; (3) Transsphincteric or suprasphincteric anal fistula according to Parks classification criteria; (4) Internal opening of the fistula locating in the anal canal; (5) Ustekinumab treatment for intestinal CD; (6) Signed informed consent.
Exclusion criteria
Exclusion criteria: (1) Age less than 16 years or more than 60 years; (2) Intersphincteric or extra-sphincteric anal fistula according to the Parks classification criteria; (3) Internal opening of the fistulae locating in the rectum; (4) Combination of intestinal tuberculosis stenosis or obstruction; (5) Pregnant and lactating women; (6) Combination of liver kidney cardiovascular and haematological system serious diseases and mental diseases; (7) Infliximab adalimumab vedolizumab upapatinib for intestinal CD; (8) Preoperative anal incontinence; (9) Combined perianal abscess; (10) Failure to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical and imaging healing rates of fistula;Healing time;Fistula recurrence rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| General indications: including name sex age disease duration etc.;Fistula-related indications: fistula classification location number of branches previous surgical history etc.;Quality of life;Neutrophil extracellular traps indicators;Indicators related to epithelial mesenchymal transition;Inflammatory cytokine levels in wound tissue;Anal continence function;Anal fistula activity;Flora distribution on wound tissue;Intestinal CD activity;Surgical complications and drug adverse events: incision infection bleeding mucosal flap necrosis drug allergy tingling etc.; | — |
Countries
China
Contacts
Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine