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Editorial
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Volume 350:934-936 February 26, 2004 Number 9
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Closing Fistulas in Crohn's Disease — Should the Accent Be on Maintenance or Safety?
Claudio Fiocchi, M.D.

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-Related Article
 by Sands, B. E.
-PubMed Citation
Among the many complications of Crohn's disease, the development of fistulas is one of the most distressing to patients because it decreases their quality of life and one of the most frustrating to physicians because of the dishearteningly high rate of management failure. Review articles offer complex clinical algorithms and long lists of therapeutic options for fistulizing Crohn's disease, ranging from antibiotics, immunomodulators, and biologic and miscellaneous agents to complementary, but seldom definitive, surgical interventions.1 Long experience has shown that the more diversified the therapeutic options are, the less likely it is that any one of them will work well, . . . [Full Text of this Article]


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From Case Western Reserve University School of Medicine, Cleveland.


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