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Ulcerative Proctitis and Anorectal Crohn’s Disease

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Fundamentals of Anorectal Surgery

Abstract

Ulcerative proctitis and anorectal Crohn’s disease often provide clinical challenges and involve multidisciplinary care including medicine and surgery. The main treatment goals are to alleviate symptoms and maintain or regain a reasonable quality of life. Advances in medications and the development of novel surgical techniques have broadened patient options and improved outcomes. This chapter reviews the medical and surgical management of ulcerative proctitis and anorectal Crohn’s disease and their respective challenges and outcomes.

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Abbreviations

UP:

Ulcerative proctitis

UC:

Ulcerative colitis

IBD:

Inflammatory bowel disease

TNF:

Tumor necrosis factor

5-ASA:

5-Aminosalicylate

BDP:

Beclomethasone dipropionate

EGF:

Epithelial growth factor

SNS:

Sacral nerve stimulation

CD:

Crohn’s disease

HS:

Hidradenitis suppuritiva

EUA:

Examination under anesthesia

MRI:

Magnetic resonance imaging

AZA:

Azathioprine

6-MP:

6-Mercaptopurine

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Authors and Affiliations

  1. Department of Surgery, University of Limerick Hospitals Group, Limerick, Ireland

    Colin B. Peirce

  2. Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA

    Matthew F. Kalady

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  1. Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, LA, USA

    David E. Beck

  2. Department of Colon and Rectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Scott R. Steele

  3. Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Steven D. Wexner

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Peirce, C.B., Kalady, M.F. (2019). Ulcerative Proctitis and Anorectal Crohn’s Disease. In: Beck, D., Steele, S., Wexner, S. (eds) Fundamentals of Anorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65966-4_29

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