title: Diagnostic and treatment recommendations on perianal Crohn's disease.
abstract: Treatment of perianal fistulas in Crohn's disease should be defined on an individual basis. A combined medical and surgical approach is the optimal treatment. Adequate management of perianal fistula disease is based on the presence or absence of active proctitis, anatomic location, and fistula type. Furthermore, the presence of perianal abscesses must be ruled out. This evaluation includes digital rectal examination, endoscopy, and examination under anesthesia combined with pelvic magnetic resonance imaging or anorectal endoscopy ultrasonography findings.
authors.affiliation: Department of Gastroenterology, Hospital Clínico San Carlos, Madrid, Spain. jmendozah@meditex.es
authors.forename: J L
authors.initials: JL
authors.lastname: Mendoza
authors.forename: C
authors.initials: C
authors.lastname: Taxonera
authors.forename: R
authors.initials: R
authors.lastname: Lana
authors.forename: C
authors.initials: C
authors.lastname: Alba
authors.forename: J
authors.initials: J
authors.lastname: García-Paredes
authors.forename: M
authors.initials: M
authors.lastname: Díaz-Rubio
mesh_terms: D000465:Algorithms; D001003:Anal Canal; D003424:Crohn Disease / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D012003:Rectal Fistula / Q000209:etiology