Recommendations of the Crohn's Disease and Ulcerative Colitis Spanish Working Group (GETECCU) for the treatment of perianal fistulas of Crohn's disease

Gastroenterol Hepatol. 2020 Mar;43(3):155-168. doi: 10.1016/j.gastrohep.2019.09.012. Epub 2019 Dec 20.
[Article in English, Spanish]

Abstract

Recommendations are advice that is given and considered to be beneficial; however, they are still suggestions and are therefore open to different interpretations. In this sense, the final objective of the review has been to try to homogenize, with the evidence available, the approach to the diagnosis and medical/surgical treatment of one of the most complex manifestations of Crohn's disease, such as simple and complex perianal fistulas.

Keywords: Crohn's disease; Enfermedad de Crohn; Fístulas perianales; Medical treatment; Perianal fistulas; Surgical treatment; Tratamiento médico; Tratamiento quirúrgico.

Publication types

  • Practice Guideline

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Antirheumatic Agents / therapeutic use
  • Crohn Disease / complications*
  • Endoscopy / methods
  • Female
  • Fissure in Ano / etiology
  • Fissure in Ano / therapy
  • Humans
  • Hyperbaric Oxygenation
  • Immunosuppressive Agents / therapeutic use
  • Magnetic Resonance Imaging / methods
  • Mesenchymal Stem Cell Transplantation
  • Proctitis / drug therapy
  • Proctitis / etiology
  • Proctitis / surgery
  • Rectal Fistula / classification
  • Rectal Fistula / diagnosis
  • Rectal Fistula / etiology
  • Rectal Fistula / therapy*
  • Rectovaginal Fistula / etiology
  • Rectovaginal Fistula / surgery
  • Rectovaginal Fistula / therapy
  • Salicylates / therapeutic use
  • Surgical Flaps
  • Tomography, X-Ray Computed / methods
  • Ultrasonography / methods

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Antirheumatic Agents
  • Immunosuppressive Agents
  • Salicylates