Open AccessManagement of perianal fistulas in Crohn’s disease: An up-to-date review
Author(s) -
Manuela Marzo
Publication year - 2015
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v21.i5.1394
Subject(s) - medicine , crohn's disease , magnetic resonance imaging , endoscopy , disease , fistula , endoanal ultrasound , radiology , inflammatory bowel disease , modalities , crohn disease , endoscopic ultrasound , surgery , anal canal , general surgery , pathology , rectum , social science , sociology
Perianal disease is one of the most disabling manifestations of Crohn's disease. A multidisciplinary approach of gastroenterologist, colorectal surgeon and radiologist is necessary for its management. A correct diagnosis, based on endoscopy, magnetic resonance imaging, endoanal ultrasound and examination under anesthesia, is crucial for perianal fistula treatment. Available medical and surgical therapies are discussed in this review, including new local treatment modalities that are under investigation.