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Clin Colon Rectal Surg 2007; 20(4): 282-293
DOI: 10.1055/s-2007-991027
© Thieme Medical Publishers

Perianal Crohn's Disease

Bashar Safar1 , Dana Sands1
  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida
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Publication History

Publication Date:
16 October 2007 (online)

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ABSTRACT

Crohn's disease is commonly complicated by perianal manifestations. The surgeon plays a pivotal role in caring for these patients; a detailed history along with a thorough clinical exam provides the treating physician with invaluable information upon which to base further investigations and management decisions. Other than abscess drainage, medical management to control proximal disease often precedes any surgical attempt to cure the disease. Surgical interventions are indicated in selective patients, but are often complicated by poor wound healing and recurrences. A sizable percentage of these patients may need a proctectomy.

KEYWORDS

Crohn's disease - perianal - fistula

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Dana SandsM.D. 

Department of Colorectal Surgery, Cleveland Clinic Florida

2950 Cleveland Clinic Blvd., Weston, FL 33331

Email: sandsd@ccf.org