Perianal Crohn's disease: Still more questions than answers
In this editorial we comment on the article by Pacheco published in a recent issue of the . We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evid...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2024-10, Vol.30 (39), p.4260-4266 |
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creator | Swaminathan, Akhilesh Sparrow, Miles P |
description | In this editorial we comment on the article by Pacheco
published in a recent issue of the
. We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice. |
doi_str_mv | 10.3748/wjg.v30.i39.4260 |
format | Article |
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. We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice.</description><identifier>ISSN: 1007-9327</identifier><identifier>ISSN: 2219-2840</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v30.i39.4260</identifier><identifier>PMID: 39492828</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Anal Canal - pathology ; Cost of Illness ; Crohn Disease - complications ; Crohn Disease - diagnosis ; Crohn Disease - therapy ; Humans ; Rectal Fistula - diagnosis ; Rectal Fistula - etiology ; Rectal Fistula - therapy</subject><ispartof>World journal of gastroenterology : WJG, 2024-10, Vol.30 (39), p.4260-4266</ispartof><rights>The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.</rights><rights>The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. 2024</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c238t-61b7076f5aa3d96d832ef6dc4bd3700d6425ab9038c192c0e7c9f13f315100e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525859/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525859/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39492828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swaminathan, Akhilesh</creatorcontrib><creatorcontrib>Sparrow, Miles P</creatorcontrib><title>Perianal Crohn's disease: Still more questions than answers</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>In this editorial we comment on the article by Pacheco
published in a recent issue of the
. We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice.</description><subject>Anal Canal - pathology</subject><subject>Cost of Illness</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - diagnosis</subject><subject>Crohn Disease - therapy</subject><subject>Humans</subject><subject>Rectal Fistula - diagnosis</subject><subject>Rectal Fistula - etiology</subject><subject>Rectal Fistula - therapy</subject><issn>1007-9327</issn><issn>2219-2840</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkEtPwzAQhC0EouVx54Ryg0vC2pvEMRwQqnhJlUACzpaTOK2rJC522op_T0pLBac97MzszkfIGYUIeZxdrWaTaIkQGRRRzFLYI0PGqAhZFsM-GVIAHgpkfECOvJ8BMMSEHZIBiliwjGVDcvOqnVGtqoORs9P2wgel8Vp5fR28daaug8Y6HXwutO-MbX3QTVUbqNavtPMn5KBStden23lMPh7u30dP4fjl8Xl0Nw4LhlkXpjTnwNMqUQpLkZYZMl2lZRHnJXKAMo1ZonIBmBVUsAI0L0RFsUKa9AU0x2Nyu8mdL_JGl4VuO6dqOXemUe5LWmXk_01rpnJil5LShCVZIvqEy22Csz9dZGN8oetatdouvETafwopCNZLYSMtnPXe6Wp3h4JcQ5c9dNlDlz10uYbeW87__rcz_FLGb164ftE</recordid><startdate>20241021</startdate><enddate>20241021</enddate><creator>Swaminathan, Akhilesh</creator><creator>Sparrow, Miles P</creator><general>Baishideng Publishing Group Inc</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><scope>5PM</scope></search><sort><creationdate>20241021</creationdate><title>Perianal Crohn's disease: Still more questions than answers</title><author>Swaminathan, Akhilesh ; Sparrow, Miles P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c238t-61b7076f5aa3d96d832ef6dc4bd3700d6425ab9038c192c0e7c9f13f315100e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anal Canal - pathology</topic><topic>Cost of Illness</topic><topic>Crohn Disease - complications</topic><topic>Crohn Disease - diagnosis</topic><topic>Crohn Disease - therapy</topic><topic>Humans</topic><topic>Rectal Fistula - diagnosis</topic><topic>Rectal Fistula - etiology</topic><topic>Rectal Fistula - therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>Swaminathan, Akhilesh</creatorcontrib><creatorcontrib>Sparrow, Miles P</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swaminathan, Akhilesh</au><au>Sparrow, Miles P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perianal Crohn's disease: Still more questions than answers</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2024-10-21</date><risdate>2024</risdate><volume>30</volume><issue>39</issue><spage>4260</spage><epage>4266</epage><pages>4260-4266</pages><issn>1007-9327</issn><issn>2219-2840</issn><eissn>2219-2840</eissn><abstract>In this editorial we comment on the article by Pacheco
published in a recent issue of the
. We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>39492828</pmid><doi>10.3748/wjg.v30.i39.4260</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Anal Canal - pathology Cost of Illness Crohn Disease - complications Crohn Disease - diagnosis Crohn Disease - therapy Humans Rectal Fistula - diagnosis Rectal Fistula - etiology Rectal Fistula - therapy |
title | Perianal Crohn's disease: Still more questions than answers |
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