We have located links that may give you full text access.
Journal Article
Review
Perianal Crohn's disease.
Netherlands Journal of Medicine 1994 August
Perianal disease in Crohn's disease is a difficult matter to deal with. The indication for therapy is not always clear in this disease with a relatively mild natural course. More confusion is caused by the fact that not all disease in the perianal region in a patient with Crohn's has to be Crohn-related. The usual ailments such as haemorrhoids may occur in a patient with Crohn's disease. The treatment has to be as for every patient. Primary mucosal and submucosal Crohn's disease in the anal canal has to be treated like uncomplicated Crohn's disease in the rest of the gastrointestinal tract with appropriate medication. The option for therapy in complicated abdominal Crohn's disease, most often resection, is not available in perianal disease without giving up faecal continence. One has to make a compromise, wishing to treat the disease as radically as possible, while preserving faecal continence as much as possible. The basis for treatment for complicated Crohn's disease is medical treatment for the primary disease. The choice in surgical options depends on the type of complication. A different strategy is needed for each type of complication. The therapy is different for perianal abscesses, rectovaginal fistulas, stenosis, high perianal fistulas and low perianal fistulas. It is proposed to treat abscesses by early incision and drainage, rectovaginal fistulas by a mucosal advancement anoplasty, high perianal fistulas by a seton procedure, low perianal fistulas by fistulotomy, and stenosis by mild dilatation.(ABSTRACT TRUNCATED AT 250 WORDS)
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app