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How to manage anal ulcerations and anorectal stenosis in Crohn’s disease: algorithm-based decision making

French National Working Group Consensus 2018
  • D. BouchardEmail author
  • C. Brochard
  • B. Vinson-Bonnet
  • G. Staumont
  • L. Abramowitz
  • P. Benfredj
  • N. Fathallah
  • J.-L. Faucheron
  • T. Higuero
  • Y. Panis
  • V. de Parades
  • L. Siproudhis
  • D. Laharie
  • F. Pigot
Original Article
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Abstract

The French National Society of Coloproctology established national recommendations for the treatment of anoperineal lesions associated with Crohn’s disease. Treatment strategies for anal ulcerations and anorectal stenosis are suggested. Recommendations have been graded following international recommendations, and when absent professional agreement was established. For each situation, practical algorithms have been drawn.

Keywords

Crohn’s disease Anal ulcerations Anorectal stenosis Treatment 

Abbreviations

AUC

Anal ulceration of Crohn’s disease

APL

Ano-perineal 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

Bouchard D: Abbvie, Takeda (consultant and lecture fees), Pigot F : Abbvie (lecture fees), Abramowitz L : Abbvie, Takeda (research fees), Faucheron JL : AMI, Medtronic (consultant, research fees), Laharie D : Abbvie, Janssen, MSD, Takeda (board, lectures fees), Siproudhis L : Abbvie, Ferring, MSD, Takeda (teaching sessions, consultant, research fees). The authors declare that they have no conflict of interest.

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
  • C. Brochard
    • 2
  • B. Vinson-Bonnet
    • 3
  • G. Staumont
    • 4
  • L. Abramowitz
    • 5
  • P. Benfredj
    • 6
  • N. Fathallah
    • 6
  • J.-L. Faucheron
    • 7
  • T. Higuero
    • 8
  • Y. Panis
    • 9
  • V. de Parades
    • 6
  • L. Siproudhis
    • 2
  • D. Laharie
    • 10
  • F. Pigot
    • 1
  1. 1.Bagatelle HospitalTalence CedexFrance
  2. 2.University Hospital CenterRennes Cedex 9France
  3. 3.Poissy-Saint Germain en Laye HospitalPoissyFrance
  4. 4.La Croix du Sud ClinicQuint-FonsegrivesFrance
  5. 5.Ramsay Générale de Santé, Blomet ClinicParisFrance
  6. 6.Saint Joseph HospitalParisFrance
  7. 7.University Hospital Center Grenoble-AlpesLa TroncheFrance
  8. 8.BeausoleilFrance
  9. 9.Beaujon HospitalClichyFrance
  10. 10.Umniversity Hospital Center Haut LévêquePessac CedexFrance

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