Perianal Crohn's disease
| Autor: | Derek P. Jewell, Baljit Singh, Bruce George, N. J. McC. Mortensen |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice MEDLINE Disease Diagnosis Differential Crohn Disease Intestinal Fistula medicine Humans Rectal Fistula Physical Examination Perianal Crohn's disease Anus Diseases medicine.diagnostic_test business.industry Vaginal Fistula Incidence (epidemiology) General surgery Magnetic resonance imaging Anus Magnetic Resonance Imaging Anti-Bacterial Agents Surgery Aminosalicylic Acids medicine.anatomical_structure Female Steroids Emergencies Ultrasonography business Immunosuppressive Agents |
| Zdroj: | British Journal of Surgery. 91:801-814 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.4613 |
| Popis: | Background The management of perianal Crohn's disease is difficult. A wide variety of treatment options exist although few are evidence based. Methods A search was conducted using the National Library of Medicine for articles on perianal Crohn's disease and its incidence, classification, assessment and management. Results and conclusion Perianal Crohn's disease can manifest as skin tags, ulcers, fissures, abscesses, fistulas or stenoses. Improved radiological imaging with endoanal anal ultrasonography and magnetic resonance imaging has improved its assessment and may be used to predict outcome after surgery. Many treatment options exist. During acute complications they are generally aimed at resolving the immediate problem and limiting damage to anal and perianal tissues; this may be a ‘bridge’ to definitive treatment. The likelihood of success of definitive treatment must be weighed against the risk of complications, especially faecal incontinence. |
| Databáze: | OpenAIRE |
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