Perianal fistulas in patients with inflammatory bowel disease

Fistula in ano represents a challenging pathology for both the patient and clinician, and management can be made even more difficult in the setting of Crohn’s Disease. Up to 54% of patients with Crohn’s Disease will suffer from anorectal involvement which can have a profound impact on quality of life. Treatment of Crohn’s related fistulas, however, can be fraught with complications including delayed wound healing, persistent fistula, and fecal incontinence. As such, a thoughtful, moderated and well-informed approach is necessary when evaluating and treating a Crohn’s-related anal fistula.
Source: Seminars in Colon and Rectal Surgery - Category: Gastroenterology Authors: Source Type: research