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Management of Severe Anoperineal Disease

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Abstract

Perianal involvement can occur in up to 42% of patients with Crohn’s disease and has the potential to cause significant life impairment. Close to 90% of patients with anoperineal Crohn’s disease require surgical intervention at some point in their lifetime, and up to 38% of patients with complex perianal fistulas undergo fecal stream diversion. This chapter focuses on surgical treatment of severe perianal Crohn’s disease (pCD) with a goal to compare seton placement with temporary fecal diversion.

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  1. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Sergey Khaitov & Asya Ofshteyn

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  1. Sergey Khaitov
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  1. Colon and Rectal Surgery, University of Chicago, Chicago, IL, USA

    Neil Hyman

  2. Section of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Phillip Fleshner

  3. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Scott Strong

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Khaitov, S., Ofshteyn, A. (2019). Management of Severe Anoperineal Disease. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_11

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