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Eur J Pediatr Surg 2020; 30(05): 395-400
DOI: 10.1055/s-0040-1716724
Review Article

Perianal Crohn's Disease in Children and Adolescents

Annika Mutanen
1   Department of Pediatric Surgery, Children's Hospital, Helsinki University Hospital, Helsinki, Finland
,
Mikko P. Pakarinen
1   Department of Pediatric Surgery, Children's Hospital, Helsinki University Hospital, Helsinki, Finland
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Abstract

The incidence of Crohn's disease is increasing worldwide. The clinical course of childhood onset Crohn's disease is particularly aggressive with characteristic disease localization in the ileocecal region and colon, often associated with perianal disease. Severe complications of perianal disease include recurrent perianal sepsis, chronic fistulae, fecal incontinence, and rectal strictures that impair quality of life and may require fecal diversion. Care of patients with perianal Crohn's disease requires a multidisciplinary approach with systematic clinical evaluation, endoscopic assessment, and imaging studies followed by combined medical and surgical management. In this review, we provide an update of the epidemiology, pathophysiology, diagnostics, and management of perianal Crohn's disease in children and adolescents.

Keywords

abscess - fissure - fistula - hemorrhoid - skin tag


Publication History

Received: 21 July 2020

Accepted: 16 August 2020

Article published online:
17 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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