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General Medicine General a37a7bc1

A person underwent laparotomy for Crohn's disease with melena. A 15 cm segment of ileum was found to be diseased. Segmental resection with healthy margins and end-to-end anastomosis was done. On 7th postoperative day, the patient developed anastomotic leak. He continued to have 150-200 ml fistula output for the next 7 days. There was no collection of fluid in the abdomen and now patient is stable. The ideal management is:

A
Continue conservative management and expect the fistula to heal
B
Laparotomy and revision of the fistula, if margins are healthy
C
Laparotomy with dismantling of fistula and exteriorization
D
Laparotomy and assessment. If lateral leak is present, only lavage and drainage

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