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Editorial
. 2024 Oct 21;30(39):4260-4266.
doi: 10.3748/wjg.v30.i39.4260.

Perianal Crohn's disease: Still more questions than answers

Akhilesh Swaminathan  1   2 , Miles P Sparrow  3   4
Affiliations
Editorial

Perianal Crohn's disease: Still more questions than answers

Akhilesh Swaminathan et al. World J Gastroenterol. .

Abstract

In this editorial we comment on the article by Pacheco et al published in a recent issue of the World Journal of Gastroenterology. We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice.

Keywords: Anorectal malignancy; Crohn’s disease classification; Crohn’s disease treatment; Disease severity; Perianal Crohn’s disease.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Risk factors and classification of perianal fistulizing Crohn’s disease as adapted from the TOpClass classification system.
See this image and copyright information in PMC

References

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