Multidisciplinary and evidence-based management of fistulizing perianal Crohn’s disease

摘要: Perianal symptoms are common in patients with Crohn's disease and cause considerable morbidity. The etiology of these include skin tags, ulcers, fissures, abscesses, fistulas or stenoses. Fistula is the most perianal manifestation. Multiple treatment options exist although very few evidence-based. phases include: drainage infection, assessment status fistula tracts, medical therapy, selective operative management. impact biological therapy on uncertain given that outcomes conflicting. Operative to eradicate tract can be attempted once infection has resolved activity controlled. approach should tailored according anatomy tract. Definitive challenging rarely leading true healing frequent complications recurrence. Treatment success must weighed against risk complications, specially anal sphincter injury. A full understanding all potential therapeutic critical for success. Multidisciplinary management fistulizing crucial improve outcomes.