Le lesioni anali e perianali nel morbo di Crohn

Translated title of the contribution: Anal and perianal lesions in Crohn's disease

M. Giordano, B. Rebesco, G. Blanco, I. Torelli

Research output: Contribution to journalArticlepeer-review

Abstract

Crohn's disease is not a homogeneous clinical entity but may shows many clinical pictures during its period, prognosis and response to therapy. Anal and perianal localisations are frequently found; they can occur isolated, months or years in advance the disease, or can be concomitant with an ileal, colic or rectal involvement. There can be many kinds of lesions: simple, such as eczema or fissuration, complex, such as high rectal or rectovaginal fistulas. A rational classification of anal and perianal manifestations is suggested. Local medical therapy, is very effective in minor lesions, and has to be associated with systemic medical therapy particularly nowadays: the knowledge on phlogosis, biology and biotechnology revolution, have launched a new therapeutic era. Surgical therapy can be performed only in case of complex disease non responsive to medical therapy or when it is necessary to give a rest to anorectal tract. To perform a correct follow-up, considering unpredictability of lesions, a careful clinical evaluation and an intensive surveying plan associated with objective evaluation parameters are suggested.

Translated title of the contributionAnal and perianal lesions in Crohn's disease
Original languageItalian
Pages (from-to)599-610
Number of pages12
JournalMinerva Chirurgica
Volume56
Issue number6
Publication statusPublished - 2001

ASJC Scopus subject areas

  • Surgery

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