Perianal disease: Updates and controversies in closing the gaps

Samir K Gadepalli; Jeremy Adler

doi:10.1016/j.sempedsurg.2024.151402

Perianal disease: Updates and controversies in closing the gaps

Semin Pediatr Surg. 2024 Apr;33(2):151402. doi: 10.1016/j.sempedsurg.2024.151402. Epub 2024 Mar 30.

Authors

Samir K Gadepalli¹, Jeremy Adler²

Affiliations

¹ Section of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, United States; Susan G. Meister CHEAR Center, University of Michigan, Ann Arbor, MI, United States. Electronic address: samirg@med.umich.edu.
² Susan G. Meister CHEAR Center, University of Michigan, Ann Arbor, MI, United States; Division of Pediatric Gastroenterology, Department of Pediatrics, University of Michigan, Ann Arbor, MI, United States.

PMID: 38603820
DOI: 10.1016/j.sempedsurg.2024.151402

Abstract

Perianal complications are common and morbid in children with Crohn's disease. In this review, we describe the epidemiology, the presentation and diagnosis, evaluation and management. We focus on updates such as the increasing frequency of biologic medications and MRI for evaluation. We also highlight controversies on the timing and approaches to surgical techniques. Finally, perianal disease requires the coordination of multidisciplinary care with nursing, radiology, gastroenterology, and surgery to optimize outcomes - both medical and patient-centered.

Keywords: Fissure; Fistula-in-ano; Perianal Crohns; Seton.

Publication types

Review

MeSH terms

Anus Diseases / diagnosis
Anus Diseases / epidemiology
Anus Diseases / etiology
Anus Diseases / therapy
Child
Crohn Disease* / diagnosis
Crohn Disease* / epidemiology
Crohn Disease* / therapy
Humans