Crohns Disease

Perianal Complications in Crohn’s Disease Patient Management

Since the classic paper published by Crohn and colleagues in 1932 describing the chronic inflammatory process of the bowel there have been multiple articles published on the complications of this illness. The description of perianal fistula was followed…

Effective Therapeutic Agents

Antibiotics The first step in the management of perianal Crohn’s disease is usually the institution of antibiotics. Although there have been several control trials looking at the efficacy of metronidazole in the treatment of active Crohn’s disease, none…

Diagnostic Modalities

The first, and most important, diagnostic modalities are clinical history and physical examination by the practicing gastroenterologist. The development of large anal tags (often referred to as “elephant ears”) is associated with Crohn’s disease in the perianal area….

Crohn’s Disease

Active Crohn’s Disease The goal of treatment for active Crohn’s disease is to achieve remission; however, in many patients, reduction of symptoms so that the patient may carry out normal activities or reduction of the steroid dose required…

Surgical Management of Crohn’s Disease

Crohn’s disease is an inflammatory condition of the bowel that can affect the gut tube anywhere from the lips to the anus. The commonest site of pathology, however, is the small bowel, and this is indeed the focus…