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J R Soc Med. 1982 June; 75(6): 414–417.
PMCID: PMC1437976

Management of perianal Crohn's disease.


Symptomatic anal disease (excluding skin tags) was observed in 49 out of 151 successive patients treated for Crohn's disease. Two main types of anal disease were encountered: anal ulceration (23 patients) and anal abscesses and fistulae (26 patients). The ulcer group rarely required local surgical treatment. In the fistula group, a low tract was demonstrated and laid open in 20 patients. The healing times after operation in these patients were compared with those of 18 patients with non-Crohn's fistula-in-ano treated by the same method. No significant difference between the two groups could be demonstrated. Surgical treatment of low fistula-in-ano may be undertaken in patients with Crohn's disease, provided the bowel disease is under adequate control.

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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, Buchmann P. Perianal Crohn's disease. World J Surg. 1980;4(2):203–208. [PubMed]
  • Fielding JF. Perianal lesions in Crohn's disease. J R Coll Surg Edinb. 1972 Jan;17(1):32–37. [PubMed]
  • Hellers G, Bergstrand O, Ewerth S, Holmström B. Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease. Gut. 1980 Jun;21(6):525–527. [PMC free article] [PubMed]
  • Hughes LE. Surgical pathology and management of anorectal Crohn's disease. J R Soc Med. 1978 Sep;71(9):644–651. [PMC free article] [PubMed]
  • Marks CG, Ritchie JK, Lockhart-Mummery HE. Anal fistulas in Crohn's disease. Br J Surg. 1981 Aug;68(8):525–527. [PubMed]
  • Schofield PF, Fox H. The diagnosis of crohn's disease of the colon. A clinico-pathological study. Br J Surg. 1967 Apr;54(4):307–311. [PubMed]

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