title: Perianal Crohn's disease: challenges and solutions.
abstract: Perianal Crohn's disease affects a significant number of patients with Crohn's disease and is associated with poor quality of life. The nature of the disease, compounded by presentation of various disease severities, has made the treatment of perianal Crohn's disease difficult. The field continues to evolve with the use of both historical and contemporary solutions to address the challenges associated with it. The goal of this article is to review current literature regarding medical and surgical treatment, as well as the future directions of therapy.
authors.affiliation: Department of General Surgery, Division of Gastrointestinal and General Surgery, Oregon Health and Sciences University, Portland, OR, USA.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Kelley
authors.affiliation: Department of General Surgery, Division of Gastrointestinal and General Surgery, Oregon Health and Sciences University, Portland, OR, USA.
authors.forename: Taranjeet
authors.initials: T
authors.lastname: Kaur
authors.affiliation: Department of General Surgery, Division of Gastrointestinal and General Surgery, Oregon Health and Sciences University, Portland, OR, USA.
authors.forename: Vassiliki L
authors.initials: VL
authors.lastname: Tsikitis
keywords: Crohn’s disease; fistula; perirectal; surgery