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Reply to "Rectovaginal fistula"

It's unlikely to be an urgent surgical matter. Why a rheumatologist instead of a gastroenterologist? 

Treatments for diversion pouchitis are usually local: short chain fatty acid enemas, 5-ASA suppositories or enemas (e.g. Canasa), or steroid foam or enemas. Are you using one or more of these? I don't think antibiotics will help much.

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