Management of complex perianal Crohn's disease

Authors Lara Aguilera Castro, Carlos Ferre-Aracil, Ana Garcia-Garcia-de-Paredes, Enrique Rodriguez-de-Santiago, Antonio Lopez-Sanroman.


Patients with Crohn's disease often develop perianal disease, successfully managed in most cases. However, its most aggressive form, complex perianal disease, is associated with high morbidity and a significant impairment in patients' quality of life. The aim of this review is to provide an updated approach to this condition, reviewing aspects of its epidemiology, diagnosis and therapeutic alternatives. Emerging treatment options are also discussed. A multidisciplinary assessment of these patients with a coordinated medical and surgical approach is crucial.

Keywords Crohn's disease, perianal disease, perianal fistula, perianal abscess

Ann Gastroenterol 2017; 30 (1): 33-44

Review Articles