Clinical Case Database / Category: Patient Management

Bowel fistula

Publication details

Dr M Thornton (MD, FRACS, LLB), Dr F Conway (MBChB, MRCS, BSc)
Foundation Years Journal, volume 6, issue 7, p.12 (123Doc Education, London, July 2012)

Abstract

Gastrointestinal internal fistulae are abnormal passages or openings that connect the gastrointestinal (GI) tract with another organ or space caused by trauma, disease or congenital anomaly. In relation to Crohn’s disease they specifically exclude perianal fistulae. Internal fistulae occur in 5-15% of patients with Crohn’s Disease and approximately one-third of these patients require surgery. There is a paucity of controlled data on which to base recommendations for the treatment of internal fistulae in Crohn’s Disease. We discuss a case of GI fistula.

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Authors

Dr M Thornton (MD, FRACS, LLB)

Consultant Surgeon,
Wishaw General Hospital
Michelle.Thornton@lanarkshire.scot.nhs.uk

Dr F Conway (MBChB, MRCS, BSc)

Surgical Trainee
Wishaw General Hospital
fconway@nhs.net

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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