Anales del Sistema Sanitario de Navarra
versión impresa ISSN 1137-6627
CIGA, M.A. et al. Treatment of perianal Crohns disease. Anales Sis San Navarra [online]. 2006, vol.29, n.3, pp.367-386. ISSN 1137-6627.
Perianal affectation due to Crohns disease includes a wide spectrum of lesions involving different management and prognosis. A thorough exploration of the patient, under anaesthetic if necessary, a rectoscope to evaluate the possible affectation of the rectum by the disease, and on occasions evaluation through endoanal echography or magnetic resonance, are the bases for a correct diagnostic and therapeutic focus. Pharmacology and surgery must be complementary in the treatment of perianal Crohns disease and must pursue a double aim: to alleviate the symptomology of the patient and prevent possible complications. Except in situations of emergency due to perianal sepsis, medical treatment is the first step in managing perianal Crohns disease, and on many occasions it will control the disease, making surgery unnecessary. When surgery is required, with the aim of a definitive treatment of the perianal lesion, the risk of developing complications, especially incontinence, must be contrasted.
Palabras clave : Crohns disease; Perianal disease; Medical treatment; Surgical treatment.