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1. 肛門直腸瘻の外科的マネージメントoperative management of anorectal fistulas [show details]
… initially by drainage of the lateral sites with setons and a midline seton from the posterior primary opening to the deep post-anal space. The lateral setons can be removed after 12 weeks, and the primary …
2. 肛門周囲膿瘍と直腸周囲膿瘍perianal and perirectal abscess [show details]
…draining seton can be placed, but often the fistula tract is difficult to identify because most patients present with the ischiorectal space inflamed and/or infected. If a fistula is present, a seton can be …
3. クローン病の肛門病変perianal crohns disease [show details]
…can be initiated, and timing of seton removal is determined as outlined below. Local sepsis in the pelvis leads to tissue destruction of the anal sphincter, and setons are placed for continuous drainage …
4. 小児や青年のクローン病マネージメントの概要overview of the management of crohn disease in children and adolescents [show details]
…. Perianal setons are commonly utilized to promote drainage, prevent abscess recurrence, and provide pain relief. However, they will keep a fistulous tract open indefinitely until the seton is removed…
5. 小児や青年のクローン病の臨床症状clinical manifestations of crohn disease in children and adolescents [show details]
…azathioprine, and exclusive enteral nutrition [EEN] ). Surgical options for perianal fistulas include Seton placement or fistulotomy; a minority of patients may require colonic diversion . Oral lesions…

Japanese Journal

炎症性腸疾患に合併した痔瘻に対する手術 (特集難治性肛門疾患の手術治療)

吉川周作,内田秀樹,中尾武,樫塚久記,山岡健太郎,稲次直樹
手術 = Operation 72(9), 1391-1399, 2018-08
NAID 40021656906

肛門括約筋内に遺残していた誤嚥魚骨の1例

瀬尾信吾,菅原由至,清戸翔,河合昭昌,松本英男,平井敏弘
日本臨床外科学会雑誌 79(3), 542-547, 2018
… に刺入点を認めなかったので，MDCT画像を基に歯状線部粘膜を切開し，内肛門括約筋の外側に接して頭側に鉗子を進め探索し13mm長の魚骨を摘出した．術後，粘膜切開部直下に膿瘍形成を伴ったので，7日目にseton法によるドレナージを加えた．膿瘍消退後に瘻管化したドレナージ創を切除し，49日目に自宅退院した．異物による消化管穿通例の中でも肛門部での発生は稀だが，大多数は肛門周囲膿瘍を形成し，膿瘍切開に …
NAID 130007493790