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Multimodal treatment of perianal fistulas in Crohn's Disesase: seton versus anti-TNF versus advancement plasty

Recruiting
Conditions
perianal fistulas, Crohn's diseaseperianale fistels, ziekte van Crohn
Registration Number
NL-OMON22680
Lead Sponsor
Academic Medical Center
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
126
Inclusion Criteria

≥ 18 years

- Written informed consent

Exclusion Criteria

- Proctitis (defined as any active mucosal inflammation or ulcer > 5mm in the rectum)

- Anorectal stenosis (defined as the impossibility to introduce a proctoscope)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary objective of this study is to analyse the number of patients that need a re-intervention due to fistula-related complications (abscesses, recurrent or new tract formation).
Secondary Outcome Measures
NameTimeMethod
The secondary outcomes parameters will be the number of patients with closed fistulas (based on MRI findings) after 18 months, Perianal Disease Activity Index (PDAI score) and number of necessary antibiotics courses during fistula treatment, quality of life (EQ-5D and IBDQ), and costs (KEA and BIA).
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