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Anorectal Strictures in Complex Perianal CD: How to Approach?
- Source :
-
Clinics in colon and rectal surgery [Clin Colon Rectal Surg] 2022 Jan 17; Vol. 35 (1), pp. 44-50. Date of Electronic Publication: 2022 Jan 17 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Anorectal strictures are a notoriously difficult to treat phenotype of perianal Crohn's disease. Quality of life is diminished due to ongoing pain, incontinence, difficulty with stool evacuation, and recurrent medical and surgical treatments. Medical therapy is aimed at treating luminal disease and mucosal ulceration to prevent worsening of fibrosis. Clinical examination and endoscopic intervention can be used for serial dilations of strictures. Unfortunately, despite optimal medical therapy and endoscopic intervention with serial anal dilations, surgery with intestinal diversion or proctocolectomy may be required as part of the treatment algorithm in a significant proportion of patients.<br />Competing Interests: Conflict of Interest A.L.L. is a consultant for Takeda. M.R. is a consultant for Abbvie, Janssen, UCB, Takeda, Pfizer, Miraca Labs, Amgen, Celgene, Seres, Allergan, Genentech, Gilead, Salix, Prometheus, Lilly, TARGET Pharma Solutions, ALFASIGMA, S.p.A., Bristol Meyer Squibb (BMS). M.R. reports other from Pfizer, other from Takeda, other from Janssen, other from Abbvie, outside the submitted work. A.L.L. reports personal fees from Takeda, outside the submitted work.<br /> (Thieme. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1531-0043
- Volume :
- 35
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinics in colon and rectal surgery
- Publication Type :
- Academic Journal
- Accession number :
- 35069029
- Full Text :
- https://doi.org/10.1055/s-0041-1740037