State-of-the-art surgery for Crohn’s disease: part III-perianal Crohn’s disease
Purpose Diagnosis and treatment of perianal Crohn’s disease is challenging and requires its own domain of therapy. Different types of perianal disease require a spectrum of treatment strategies. Treatment options range from conservative therapy, including immunosuppressives, biologics, or stem cell...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2023-03, Vol.408 (1), p.132-132, Article 132 |
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| container_end_page | 132 |
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| container_issue | 1 |
| container_start_page | 132 |
| container_title | Langenbeck's archives of surgery |
| container_volume | 408 |
| creator | Scheurlen, Katharina M. MacLeod, Anne Kavalukas, Sandra L. Galandiuk, Susan |
| description | Purpose
Diagnosis and treatment of perianal Crohn’s disease is challenging and requires its own domain of therapy. Different types of perianal disease require a spectrum of treatment strategies. Treatment options range from conservative therapy, including immunosuppressives, biologics, or stem cell therapy, to surgical treatment with specific indications depending on the underlying lesion. This is part III of the series “state-of-the-art surgery for Crohn’s disease,” focusing on the management of perianal disease. We discuss the definition and diagnosis of perianal Crohn’s disease, the treatment of perianal lesions, and specific surgical indications and techniques.
Results and conclusion
Pitfalls and complications play a substantial role in the treatment of perianal Crohn’s disease, and surgical therapy may fail. Realistic treatment goals and an individual patient-oriented treatment approach are crucial in the treatment of perianal Crohn’s disease. |
| doi_str_mv | 10.1007/s00423-023-02856-x |
| format | Article |
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Diagnosis and treatment of perianal Crohn’s disease is challenging and requires its own domain of therapy. Different types of perianal disease require a spectrum of treatment strategies. Treatment options range from conservative therapy, including immunosuppressives, biologics, or stem cell therapy, to surgical treatment with specific indications depending on the underlying lesion. This is part III of the series “state-of-the-art surgery for Crohn’s disease,” focusing on the management of perianal disease. We discuss the definition and diagnosis of perianal Crohn’s disease, the treatment of perianal lesions, and specific surgical indications and techniques.
Results and conclusion
Pitfalls and complications play a substantial role in the treatment of perianal Crohn’s disease, and surgical therapy may fail. Realistic treatment goals and an individual patient-oriented treatment approach are crucial in the treatment of perianal Crohn’s disease.</description><identifier>ISSN: 1435-2451</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-023-02856-x</identifier><identifier>PMID: 36995518</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; Crohn Disease - complications ; Crohn Disease - surgery ; General Surgery ; Humans ; Immunosuppressive Agents - therapeutic use ; Medicine ; Medicine & Public Health ; Review ; Thoracic Surgery ; Traumatic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2023-03, Vol.408 (1), p.132-132, Article 132</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-8984a690401730313f507ff96d46c2f9b614c97dfc8f4d858bd7dea6f491132c3</citedby><cites>FETCH-LOGICAL-c347t-8984a690401730313f507ff96d46c2f9b614c97dfc8f4d858bd7dea6f491132c3</cites><orcidid>0000-0002-2712-536X ; 0000-0001-9994-5263 ; 0000-0001-6642-7267 ; 0000-0003-4169-9041</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-023-02856-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-023-02856-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36995518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scheurlen, Katharina M.</creatorcontrib><creatorcontrib>MacLeod, Anne</creatorcontrib><creatorcontrib>Kavalukas, Sandra L.</creatorcontrib><creatorcontrib>Galandiuk, Susan</creatorcontrib><title>State-of-the-art surgery for Crohn’s disease: part III-perianal Crohn’s disease</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
Diagnosis and treatment of perianal Crohn’s disease is challenging and requires its own domain of therapy. Different types of perianal disease require a spectrum of treatment strategies. Treatment options range from conservative therapy, including immunosuppressives, biologics, or stem cell therapy, to surgical treatment with specific indications depending on the underlying lesion. This is part III of the series “state-of-the-art surgery for Crohn’s disease,” focusing on the management of perianal disease. We discuss the definition and diagnosis of perianal Crohn’s disease, the treatment of perianal lesions, and specific surgical indications and techniques.
Results and conclusion
Pitfalls and complications play a substantial role in the treatment of perianal Crohn’s disease, and surgical therapy may fail. Realistic treatment goals and an individual patient-oriented treatment approach are crucial in the treatment of perianal Crohn’s disease.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - surgery</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Review</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKw0AUhgdRbK2-gAvJ0s3omcxkLu6keAkUXFTXwzSZsSlpUmcSaHe-hq_nk5g2VQTBxeEcON__Lz6EzglcEQBxHQBYTDHsRiYcrw_QkDCa4Jgl5PDXPUAnISwAgAvFjtGAcqWShMghmk4b01hcO9zMLTa-iULrX63fRK720djX8-rz_SNEeRGsCfYmWm2ZNE3xyvrCVKb8C52iI2fKYM_2e4Re7u-ex4948vSQjm8nOKNMNFgqyQxXwIAICpRQl4BwTvGc8Sx2asYJy5TIXSYdy2UiZ7nIreGOKUJonNERuux7V75-a21o9LIImS1LU9m6DToWKlYgaSI6NO7RzNcheOv0yhdL4zeagN7K1L1MDbvpZOp1F7rY97ezpc1_It_2OoD2QOheVWdNL-rWd07Cf7VfDw6A9g</recordid><startdate>20230330</startdate><enddate>20230330</enddate><creator>Scheurlen, Katharina M.</creator><creator>MacLeod, Anne</creator><creator>Kavalukas, Sandra L.</creator><creator>Galandiuk, Susan</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2712-536X</orcidid><orcidid>https://orcid.org/0000-0001-9994-5263</orcidid><orcidid>https://orcid.org/0000-0001-6642-7267</orcidid><orcidid>https://orcid.org/0000-0003-4169-9041</orcidid></search><sort><creationdate>20230330</creationdate><title>State-of-the-art surgery for Crohn’s disease: part III-perianal Crohn’s disease</title><author>Scheurlen, Katharina M. ; MacLeod, Anne ; Kavalukas, Sandra L. ; Galandiuk, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-8984a690401730313f507ff96d46c2f9b614c97dfc8f4d858bd7dea6f491132c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>Crohn Disease - complications</topic><topic>Crohn Disease - surgery</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Review</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scheurlen, Katharina M.</creatorcontrib><creatorcontrib>MacLeod, Anne</creatorcontrib><creatorcontrib>Kavalukas, Sandra L.</creatorcontrib><creatorcontrib>Galandiuk, Susan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scheurlen, Katharina M.</au><au>MacLeod, Anne</au><au>Kavalukas, Sandra L.</au><au>Galandiuk, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>State-of-the-art surgery for Crohn’s disease: part III-perianal Crohn’s disease</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2023-03-30</date><risdate>2023</risdate><volume>408</volume><issue>1</issue><spage>132</spage><epage>132</epage><pages>132-132</pages><artnum>132</artnum><issn>1435-2451</issn><eissn>1435-2451</eissn><abstract>Purpose
Diagnosis and treatment of perianal Crohn’s disease is challenging and requires its own domain of therapy. Different types of perianal disease require a spectrum of treatment strategies. Treatment options range from conservative therapy, including immunosuppressives, biologics, or stem cell therapy, to surgical treatment with specific indications depending on the underlying lesion. This is part III of the series “state-of-the-art surgery for Crohn’s disease,” focusing on the management of perianal disease. We discuss the definition and diagnosis of perianal Crohn’s disease, the treatment of perianal lesions, and specific surgical indications and techniques.
Results and conclusion
Pitfalls and complications play a substantial role in the treatment of perianal Crohn’s disease, and surgical therapy may fail. Realistic treatment goals and an individual patient-oriented treatment approach are crucial in the treatment of perianal Crohn’s disease.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36995518</pmid><doi>10.1007/s00423-023-02856-x</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2712-536X</orcidid><orcidid>https://orcid.org/0000-0001-9994-5263</orcidid><orcidid>https://orcid.org/0000-0001-6642-7267</orcidid><orcidid>https://orcid.org/0000-0003-4169-9041</orcidid></addata></record> |
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| ispartof | Langenbeck's archives of surgery, 2023-03, Vol.408 (1), p.132-132, Article 132 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Cardiac Surgery Crohn Disease - complications Crohn Disease - surgery General Surgery Humans Immunosuppressive Agents - therapeutic use Medicine Medicine & Public Health Review Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery |
| title | State-of-the-art surgery for Crohn’s disease: part III-perianal Crohn’s disease |
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