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. 2007 Nov;20(4):282-93.
doi: 10.1055/s-2007-991027.

Perianal Crohn's disease

Bashar Safar  1 , Dana Sands
Affiliations

Perianal Crohn's disease

Bashar Safar et al. Clin Colon Rectal Surg. 2007 Nov.

Abstract

Crohn's disease is commonly complicated by perianal manifestations. The surgeon plays a pivotal role in caring for these patients; a detailed history along with a thorough clinical exam provides the treating physician with invaluable information upon which to base further investigations and management decisions. Other than abscess drainage, medical management to control proximal disease often precedes any surgical attempt to cure the disease. Surgical interventions are indicated in selective patients, but are often complicated by poor wound healing and recurrences. A sizable percentage of these patients may need a proctectomy.

Keywords: Crohn's disease; fistula; perianal.

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Figures

Figure 1
Figure 1
Treatment algorithm for perianal Crohn's disease. AZA, azathioprine; 6MP, 6 mercaptopurine.
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