Management of complex perianal Crohn's disease.
Management of complex perianal Crohn's disease.
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DOI：
10.20524/aog.2016.0099
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发表时间：
2017
影响因子：
2.2
通讯作者：
Lopez-Sanroman A
中科院分区：
文献类型：
--
作者：
Aguilera-Castro L;Ferre-Aracil C;Garcia-Garcia-de-Paredes A;Rodriguez-de-Santiago E;Lopez-Sanroman A
克罗恩病患者经常发生肛周疾病，在大多数情况下都能成功治疗。然而，其最具侵袭性的形式，复杂的肛周疾病，与高发病率和患者生活质量的显着损害有关。本综述的目的是提供一个更新的方法，这种情况下，审查方面的流行病学，诊断和治疗方案。新兴的治疗方案也进行了讨论。通过协调的医疗和手术方法对这些患者进行多学科评估至关重要。
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.