Treatment of perianal Crohn's disease

Semin Pediatr Surg. 2017 Dec;26(6):391-397. doi: 10.1053/j.sempedsurg.2017.10.009. Epub 2017 Oct 10.

Abstract

Perianal Crohn's is a common manifestation of Crohn's disease. Primary manifestations of perianal disease mirror common anorectal conditions, however treatment is less successful than in those patients without Crohn's related perianal disease. A multimodal approach to therapy including medical and surgical modalities is often necessary. The goal of treatment is to manage symptoms while maintaining continence.

Keywords: Anal abscess; Anal fistula; Infliximab; Perianal Crohn’s disease.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anus Diseases / classification
  • Anus Diseases / diagnosis
  • Anus Diseases / pathology
  • Anus Diseases / therapy*
  • Combined Modality Therapy
  • Crohn Disease / classification
  • Crohn Disease / diagnosis
  • Crohn Disease / pathology
  • Crohn Disease / therapy*
  • Digestive System Surgical Procedures / methods
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Immunosuppressive Agents