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Perianal Crohn's disease: challenges and solutions

Authors Kelley KA, Kaur T, Tsikitis VL

Received 27 September 2016

Accepted for publication 15 January 2017

Published 8 February 2017 Volume 2017:10 Pages 39—46

DOI https://doi.org/10.2147/CEG.S108513

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Professor Andreas M Kaiser


Katherine A Kelley, Taranjeet Kaur, Vassiliki L Tsikitis

Department of General Surgery, Division of Gastrointestinal and General Surgery, Oregon Health and Sciences University, Portland, OR, USA

Abstract:
Perianal Crohn’s disease affects a significant number of patients with Crohn’s disease and is associated with poor quality of life. The nature of the disease, compounded by presentation of various disease severities, has made the treatment of perianal Crohn’s disease difficult. The field continues to evolve with the use of both historical and contemporary solutions to address the challenges associated with it. The goal of this article is to review current literature regarding medical and surgical treatment, as well as the future directions of therapy.

Keywords: Crohn’s disease, fistula, surgery, perirectal

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