Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

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.

Original publication

DOI

10.1002/bjs.4613

Type

Journal article

Journal

Br J Surg

Publication Date

07/2004

Volume

91

Pages

801 - 814

Keywords

Aminosalicylic Acids, Anti-Bacterial Agents, Anus Diseases, Crohn Disease, Diagnosis, Differential, Emergencies, Female, Humans, Immunosuppressive Agents, Intestinal Fistula, Magnetic Resonance Imaging, Physical Examination, Rectal Fistula, Steroids, Vaginal Fistula