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Ulcerative Proctitis and Anorectal Crohn’s Disease

  • Colin B. Peirce
  • Matthew F. KaladyEmail author
Chapter

Abstract

Ulcerative proctitis and anorectal Crohn’s disease often provide clinical challenges and involve multidisciplinary care including medicine and surgery. The main treatment goals are to alleviate symptoms and maintain or regain a reasonable quality of life. Advances in medications and the development of novel surgical techniques have broadened patient options and improved outcomes. This chapter reviews the medical and surgical management of ulcerative proctitis and anorectal Crohn’s disease and their respective challenges and outcomes.

Keywords

Proctitis Ulcerative colitis Crohn’s disease Anorectal Perianal Fistula 

Abbreviations

UP

Ulcerative proctitis

UC

Ulcerative colitis

IBD

Inflammatory bowel disease

TNF

Tumor necrosis factor

5-ASA

5-Aminosalicylate

BDP

Beclomethasone dipropionate

EGF

Epithelial growth factor

SNS

Sacral nerve stimulation

CD

Crohn’s disease

HS

Hidradenitis suppuritiva

EUA

Examination under anesthesia

MRI

Magnetic resonance imaging

AZA

Azathioprine

6-MP

6-Mercaptopurine

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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Limerick Hospitals GroupLimerickIreland
  2. 2.Department of Colorectal SurgeryDigestive Disease and Surgery Institute, Cleveland ClinicClevelandUSA

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