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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

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Techniques in Coloproctology Aims and scope Submit manuscript

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.

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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

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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. Bagatelle Hospital, 203 route de Toulouse, 33401, Talence Cedex, France

    D. Bouchard & F. Pigot

  2. University Hospital Center, Rennes Cedex 9, France

    C. Brochard & L. Siproudhis

  3. Poissy-Saint Germain en Laye Hospital, Poissy, France

    B. Vinson-Bonnet

  4. La Croix du Sud Clinic, Quint-Fonsegrives, France

    G. Staumont

  5. Ramsay Générale de Santé, Blomet Clinic, Paris, France

    L. Abramowitz

  6. Saint Joseph Hospital, Paris, France

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

  7. University Hospital Center Grenoble-Alpes, La Tronche, France

    J.-L. Faucheron

  8. Beausoleil, France

    T. Higuero

  9. Beaujon Hospital, Clichy, France

    Y. Panis

  10. Umniversity Hospital Center Haut Lévêque, Pessac Cedex, France

    D. Laharie

Authors
  1. D. Bouchard
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  2. C. Brochard
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  3. B. Vinson-Bonnet
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  4. G. Staumont
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  5. L. Abramowitz
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  7. N. Fathallah
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  8. J.-L. Faucheron
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  9. T. Higuero
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  10. Y. Panis
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  11. V. de Parades
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  12. L. Siproudhis
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  13. D. Laharie
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  14. F. Pigot
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Corresponding author

Correspondence to D. Bouchard.

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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.

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Bouchard, D., Brochard, C., Vinson-Bonnet, B. et al. How to manage anal ulcerations and anorectal stenosis in Crohn’s disease: algorithm-based decision making. Tech Coloproctol 23, 353–360 (2019). https://doi.org/10.1007/s10151-019-01971-6

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  • DOI: https://doi.org/10.1007/s10151-019-01971-6

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