Abstract
The treatment of anal stenosis and anal fissure in patients with anorectal Crohn’s disease requires knowledge of medical management, their natural history, and familiarity with the outcomes of various management modalities. The preservation of continence and functional outcome must be balanced with the potential for poor healing. Anal stricture dilation offers the best initial treatment for symptomatic anal stricture from Crohn’s disease. Operative approaches to anal stricture, including stricture division and sphincteroplasty, have resulted in improvement. Lateral internal sphincterotomy has resulted in the healing of anal fissure in patients with known anorectal Crohn’s disease.
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Zhang, J., Ross, H.M. (2020). Anorectal Crohn’s Disease: Anal Stenosis and Anal Fissure. In: Steele, S., Maykel, J., Wexner, S. (eds) Clinical Decision Making in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65942-8_16
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DOI: https://doi.org/10.1007/978-3-319-65942-8_16
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