Inflammatory Bowel Disease Clinic, Department of Gastroenterology and Hepatology, Hospital de Santa Maria, Lisbon, Portugal.
BioDrugs. 2010 Dec 14;24 Suppl 1:28-30. doi: 10.2165/11586260-000000000-00000.
Fistulas are a frequent and serious complication of Crohn's disease. Most of the literature has been focused on perianal fistulas, which are by far the most frequent. The effectiveness of treatment with infliximab in fistulizing Crohn's disease was demonstrated in the ACCENT II trial. In that study, however, all patients had external fistulas, and the majority of those were perianal fistulas. The response to fistula treatment in other locations was not evaluated.
瘘管是克罗恩病的一种常见且严重的并发症。大多数文献都集中在肛周瘘管上,而肛周瘘管是迄今为止最常见的。英夫利昔单抗治疗瘘管性克罗恩病的疗效在 ACCENT II 试验中得到了证实。然而,在该研究中,所有患者都有外部瘘管,其中大多数是肛周瘘管。其他部位瘘管的治疗反应未予评估。