Current review of the management of fistulising perianal Crohn’s disease
S Adegbola, Kapil Sahnan, Charlene Twum‐Barima, Nusrat Iqbal, Lillian Reza, Phillip Lung, Janindra Warusavitarne, Phil Tozer, Ailsa Hart
Abstract
Perianal manifestations of Crohn's disease constitute a distinct disease phenotype commonly affecting patients and conferring an increased risk of disability and disease burden. Much research has gone into management of fistulising manifestations, with biological therapy changing the landscape of treatment. In this article, we discuss the up-to-date surgical and medical management of perianal fistulas, highlighting current consensus management guidelines and the evidence behind them, as well as future directions in management.
Topics & Concepts
MedicineDiseaseCrohn's diseaseIntensive care medicineDisease managementMedical therapyDermatologyPathologySurgeryParkinson's diseaseAnorectal Disease Treatments and OutcomesDiverticular Disease and ComplicationsInflammatory Bowel Disease