Extra-intestinal fistulae and perianal disease in Crohn's disease

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The particular perianal manifestations of Crohn's disease can pose major challenges to both physician and surgeon. The spectrum of pathology and symptomatology is diverse and management must embrace all aspects of the problems encountered. Historically, local surgery has been viewed with pessimism, but there is increasing evidence that aggressive surgery can be beneficial in selected cases, thereby delaying or preventing proctectomy. The papers reviewed in this article describe the various ways in which the different pathologies encountered have been managed.

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