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J R Soc Med. 1978 September; 71(9): 644–651.
PMCID: PMC1436266

Surgical pathology and management of anorectal Crohn's disease.


The anorectal manifestations of Crohn's disease comprise a complex and heterogeneous group of conditions which fall into two main categories: primary lesions of the active disease process and secondary lesions resulting from healing of, or infective complications of, the primary lesions. The lesions are classified into distinct clinicopathological entities which may be used in assessing prognosis and determining appropriate treatment. A basic principle of management is that surgery should be avoided as far as possible in the presence of disease activity, but will frequently be necessary, and satisfactory, for secondary complications.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Alexander-Williams J, Steinberg DM, Fielding JS, Thompson H, Cooke WT. Proceedings: Perianal Crohn's disease. Gut. 1974 Oct;15(10):822–823. [PubMed]
  • Fielding JF. Perianal lesions in Crohn's disease. J R Coll Surg Edinb. 1972 Jan;17(1):32–37. [PubMed]
  • Lockhart-Mummery HE. Symposium. Crohn's disease: anal lesions. Dis Colon Rectum. 1975 Apr;18(3):200–202. [PubMed]
  • LOCKHART-MUMMERY HE, MORSON BC. CROHN'S DISEASE OF THE LARGE INTESTINE. Gut. 1964 Dec;5:493–509. [PMC free article] [PubMed]
  • MORSON BC, LOCKHART-MUMMERY HE. Anal lesions in Crohn's disease. Lancet. 1959 Dec 19;2(7112):1122–1123. [PubMed]
  • Ritchie JK, Lennard-Jones JE. Crohn's disease of the distal large bowel. Scand J Gastroenterol. 1976;11(5):433–436. [PubMed]

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