Anal abcess crohns
How common is perianal disease?
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31 Mar Sometimes Crohn's disease requires surgery, including an emergency surgery for a perianal abscess, as columnist Mary Horsley explains.
Description:EUA involves visual inspection, palpation, and the passage of various probes into the fistulae with the patient under general anesthesia. It has the advantage of allowing any surgical intervention needed to be performed in the same setting. Diluted hydrogen peroxide injection with or without intraoperative EUS can enhance the diagnostic accuracy and help delineate fistulae with complex tracks. Generally, the management of perianal Crohn's disease should seek to control perineal sepsis, avoid surgery on asymptomatic lesions, avoid surgery when active rectal inflammation is present, and treat other sites of active Crohn's disease. Cleansing may relieve some of the itching and pain associated with perianal lesions. Any method used is appropriate: