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Anal Conditions: Anorectal Crohn’s Disease—Fistula

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Clinical Decision Making in Colorectal Surgery

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Abstract

Crohn’s disease is a chronic inflammatory disorder. The broad variability in phenotypic presentations makes the treatment of this disease a true multidisciplinary approach. Anorectal fistulae are a frequent manifestation of CD, often requiring a staged operative approach with a combination of aggressive medical management. The operative techniques vary from a simple fistulotomy to complex endorectal advancement flaps, with novel therapies becoming ever more popularized. Despite the treatment employed, the primary focus in the management of perianal CD is to prevent ongoing tissue destruction by controlling sepsis, preserving sphincter integrity, and ultimately maintaining the patient’s continence.

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Authors and Affiliations

  1. Department of General Surgery, Madigan Army Medical Center, Tacoma, WA, USA

    Andrew T. Schlussel

  2. Division of Colon and Rectal Surgery, University of Massachusetts Medical School, Worcester, MA, USA

    Karim Alavi

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  1. Andrew T. Schlussel
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Correspondence to Karim Alavi .

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Editors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Scott R. Steele

  2. Department of Surgery, University of Massachusetts, Worcester, MA, USA

    Justin A. Maykel

  3. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Steven D. Wexner

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Schlussel, A.T., Alavi, K. (2020). Anal Conditions: Anorectal Crohn’s Disease—Fistula. In: Steele, S., Maykel, J., Wexner, S. (eds) Clinical Decision Making in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65942-8_15

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  • DOI: https://doi.org/10.1007/978-3-319-65942-8_15

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  • Publisher Name: Springer, Cham

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