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

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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 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.

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Abbreviations

APL:

Anoperineal lesion

CD:

Crohn’s disease

PA:

Professional agreement

EA:

Expert agreement

MRI:

Nuclear magnetic resonance imaging

IS:

Immunosuppressant

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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).

Author information

Authors and Affiliations

  1. Hôpital Bagatelle, 203 Route de Toulouse, 33401, Talence Cedex, France

    D. Bouchard & F. Pigot

  2. Clinique Saint Jean du Languedoc, 20 Route de Revel, 31400, Toulouse, France

    G. Staumont

  3. Centre Hospitalier Universitaire, 35033, Rennes Cedex 9, France

    L. Siproudhis & C. Brochard

  4. Centre Hospitalier Universitaire Bichat, 75877, Paris, France

    L. Abramowitz

  5. Hôpital Saint Joseph, 185 Rue Raymond Losserand, 75014, Paris, France

    P. Benfredj, N. Fathallah & V. de Parades

  6. Centre Hospitalier Universitaire Grenoble-Alpes, Avenue Maquis du Grésivaudan, 38700, La Tronche, France

    J.-L. Faucheron

  7. 11 Boulevard du Général Leclerc, 06240, Beausoleil, France

    T. Higuero

  8. Hôpital Beaujon, 100 Boulevard du Général Leclerc, 92110, Clichy, France

    Y. Panis

  9. Hôpital de Poissy-Saint Germain en Laye, 10 Rue Champ Gaillard, 78300, Poissy, France

    B. Vinson-Bonnet

  10. Centre Hospitalier Universitaire Haut Lévêque, Avenue Magellan, 33604, Pessac Cedex, France

    D. Laharie

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  1. D. Bouchard
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  2. F. Pigot
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Correspondence to D. Bouchard.

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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.

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Bouchard, D., Pigot, F., Staumont, G. et al. Management of anoperineal lesions in Crohn’s disease: a French National Society of Coloproctology national consensus. Tech Coloproctol 22, 905–917 (2018). https://doi.org/10.1007/s10151-018-1906-y

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