title: The evaluation and treatment of Crohn perianal fistulae: EUA, EUS, MRI, and other imaging modalities.
abstract: Perianal fistulizing disease is a common complication of CD that requires a multidisciplinary collaboration between gastroenterology, surgery, and radiology professionals for successful assessment and treatment. Optimal success comes from a combined medical and surgical approach to treat the fistulizing disease (see Fig. 1). Unfortunately, even with a variety of surgical options, a subset of patients require permanent fecal diversion and/or proctectomy to successfully treat their disease. Further studies (likely requiring large, multicenter trials) of novel medical and surgical treatments are still warranted to formulate optimal management of this complex condition.
authors.affiliation: Department of Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, 1211 21st Avenue South, Nashville, TN 37232-0252, USA.
authors.forename: Paul E
authors.initials: PE
authors.lastname: Wise
authors.forename: David A
authors.initials: DA
authors.lastname: Schwartz
mesh_terms: D003424:Crohn Disease / Q000150:complications*; D003952:Diagnostic Imaging / Q000379:methods*; D006801:Humans; D012003:Rectal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery