Management of Simple Anoperineal Fistulas
Patients with anoperineal Crohn’s disease (CD) are often challenging to treat. They frequently require a combination of medical and surgical treatment to control their disease. More than one-third of patients with Crohn’s disease will at some point develop perianal disease, and some patients will have it as their presenting symptom several years before a diagnosis of Crohn’s disease is made. Anal fistulas are particularly difficult to treat in patients with Crohn’s disease due to the pathophysiologic characteristics of the disease, the high likelihood of recurrence, and the potential for surgical complications.