To me, Remicade is a backwards step. If Cimzia did not help, Remicade probably would not either, particularly with the presacral pocket there. You may need the ileostomy whatever other treatment you opt for, to give it the best chance to be successful. Antibiotics are more likely to just reduce symptoms, not heal a fistula. Canasa? Might help a little, but more like spitting in the ocean, in my mind. I think they are just taking the "shotgun" approach, where they just blast with both barrels, hoping they hit something.
That's just my opinion, for what it's worth, and I really do not have a crystal ball or special insight. I'm just thinking it is time for new "eyes" on the situation, and you may as well go with top dogs.
Jan
