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Surgical Treatment of Perineal Crohn’s Disease

  • Bruno Roche
  • Joan Robert-Yap

Summary

Anorectal disorders affect many patients with Crohn’s disease. Clinical manifestations range from asymptomatic skin tags to severe, debilitating perineal destruction and sepsis. Surgical management must be conservative and must focus on draining septic foci if present, preserving sphincter function and palliating symptoms. Medical management has shown some success in improving symptoms but has not yet been able to ameliorate most perineal complaints quickly with long lasting effects. Many new and exciting treatment modalities are being investigated, and it is hoped that more effective approaches to these complex and difficult problems will be found.

Keywords

Anal Fissure Anal Fistula Advancement Flap Fistulous Tract Perianal Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • Bruno Roche
    • 1
  • Joan Robert-Yap
    • 1
  1. 1.Unit of Proctology, Department of SurgeryUniversity Hospital of GenevaGenevaSwitzerland

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