Less combination therapy and more fistulotomy in perianal fistulizing Crohn’s disease in the elderly
Synchronous diagnosis of anal fistula and Crohn's disease within the first year of care is not uncommon after 60 years of age, suggesting that Crohn's disease should not be overlooked in older individuals developing an anal fistula. Despite receiving less aggressive medical management due to age-related factors, elderly patients achieved similar fistula closure rates, through a more pragmatic surgical approach, including more fistulotomies in selected patients.
Authors
- Isabelle Etienney (ORCID: https://orcid.org/0000-0002-5941-8589)
- Laurent Siproudhis (ORCID: https://orcid.org/0000-0002-2575-6790)
- Charlène Brochard (ORCID: https://orcid.org/0000-0001-7354-6301)
- Oumniya Arjafallah Goulet
Institutions
- Groupe Hospitalier Diaconesses Croix Saint-Simon (FR)
- Hôpital Pontchaillou (FR)
- Centre Hospitalier Universitaire de Rennes (FR)
- Nutrition, métabolismes et cancer (FR)
- Université de Rennes (FR)
Publication Details
- Journal
- International Journal of Colorectal Disease
- Published
- 2025-09-09
- DOI
- https://doi.org/10.1007/s00384-025-04991-x
- Primary Topic
- Anorectal Disease Treatments and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00