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Techniques in Coloproctology

, Volume 22, Issue 12, pp 905–917 | Cite as

Management of anoperineal lesions in Crohn’s disease: a French National Society of Coloproctology national consensus

  • D. BouchardEmail author
  • F. Pigot
  • G. Staumont
  • L. Siproudhis
  • L. Abramowitz
  • P. Benfredj
  • C. Brochard
  • N. Fathallah
  • J.-L. Faucheron
  • T. Higuero
  • Y. Panis
  • V. de Parades
  • B. Vinson-Bonnet
  • D. Laharie
Review Article

Abstract

The French National Society of Coloproctology established national recommendations for the treatment of anoperineal lesions associated with Crohn’s disease. Treatment strategies for acute abscesses, active fistulas (active denovo and still active under treatment), fistulas in remission, and rectovaginal fistulas are suggested. Recommendations have been graded following the international recommendations, and when absent, professional agreement has been established. For each situation, practical algorithms have been drawn.

Keywords

Crohn’s disease Anal fistula Treatment 

Abbreviations

APL

Anoperineal lesion

CD

Crohn’s disease

PA

Professional agreement

EA

Expert agreement

MRI

Nuclear magnetic resonance imaging

IS

Immunosuppressant

Notes

Funding

This work was supported by the French National Society of Coloproctology (SNFCP) and the Groupe d’Etudes Thérapeutique des Affections Inflammatoires du Tube digestif (GETAID).

Compliance with ethical standards

Conflict of interest

Dominique Bouchard is the recipient of fees for education and consulting from Abbvie, François Pigot is the recipient of fees for lectures from Abbvie, Laurent Siproudhis is the recipient of fees for consulting, teaching and research from Abbvie, Ferring, MSD and Takeda, Laurent Abramowitz is the recipient of fees for research from Abbvie and Takeda, Jean-Luc Faucheron is the recipient of fees for consulting and research from AMI and Medtronic, David Laharie is the recipient of fees for consulting and research from Abbvie, Janssen, MSD and Takeda, Ghislain Staumont, Paul Benfredj, Charlène Brochard, Nadia Fathallah, Thierry Higuero, Yves Panis, Vincent de Parades, and Béatrice Vinson-Bonnet have no conflict of interest or financial ties to disclose.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • D. Bouchard
    • 1
    Email author
  • F. Pigot
    • 1
  • G. Staumont
    • 2
  • L. Siproudhis
    • 3
  • L. Abramowitz
    • 4
  • P. Benfredj
    • 5
  • C. Brochard
    • 3
  • N. Fathallah
    • 5
  • J.-L. Faucheron
    • 6
  • T. Higuero
    • 7
  • Y. Panis
    • 8
  • V. de Parades
    • 5
  • B. Vinson-Bonnet
    • 9
  • D. Laharie
    • 10
  1. 1.Hôpital BagatelleTalence CedexFrance
  2. 2.Clinique Saint Jean du LanguedocToulouseFrance
  3. 3.Centre Hospitalier UniversitaireRennes Cedex 9France
  4. 4.Centre Hospitalier Universitaire BichatParisFrance
  5. 5.Hôpital Saint JosephParisFrance
  6. 6.Centre Hospitalier Universitaire Grenoble-AlpesLa TroncheFrance
  7. 7.BeausoleilFrance
  8. 8.Hôpital BeaujonClichyFrance
  9. 9.Hôpital de Poissy-Saint Germain en LayePoissyFrance
  10. 10.Centre Hospitalier Universitaire Haut LévêquePessac CedexFrance

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