Anorectal Crohn’s Disease

Emily Steinhagen, Andrea Chao Bafford
Anorectal Crohn’s Disease is a topic covered in the ASCRS Textbook of Colon and Rectal Surgery.

To view the entire topic, please or .

ASCRS U Education Portal is the one-stop place for all things related to colorectal surgery. Provided by the American Society of Colon & Rectal Surgeons. Powered by Unbound Medicine. Explore these free sample topics:

-- The first section of this topic is shown below --

Key Concepts

  • Control sepsis: Infection must be addressed before starting immunosuppressive medications.
  • Treat underlying luminal disease and control diarrhea, but avoid steroids for perianal Crohn’s disease.
  • Perineal care: Perineal hygiene should include gentle cleansing with sitz baths or showers and skin protection with barrier creams.
  • Avoid surgery in patients who are asymptomatic or in the setting of active proctitis.
  • In patients who are optimized, fistulas may be treated with long-term draining setons, advancement flaps, or LIFT.
  • Skin tags or hemorrhoids should generally not be treated.
  • Diversion may appropriate as component of the management of perianal Crohn’s disease for some patients.

-- To view the remaining sections of this topic, please or --

Key Concepts

  • Control sepsis: Infection must be addressed before starting immunosuppressive medications.
  • Treat underlying luminal disease and control diarrhea, but avoid steroids for perianal Crohn’s disease.
  • Perineal care: Perineal hygiene should include gentle cleansing with sitz baths or showers and skin protection with barrier creams.
  • Avoid surgery in patients who are asymptomatic or in the setting of active proctitis.
  • In patients who are optimized, fistulas may be treated with long-term draining setons, advancement flaps, or LIFT.
  • Skin tags or hemorrhoids should generally not be treated.
  • Diversion may appropriate as component of the management of perianal Crohn’s disease for some patients.

There's more to see -- the rest of this topic is available only to subscribers.

Last updated: January 26, 2022