The Perianal Disease Complicated with IBD Akihiko Ota 1 , Michiya Miyata 1 , Seisaku Hukuhara 1 , Sumirou Ieda 1 , Hiroo Ieda 1 , Satoru Kondo 2 1Proctology, Ieda Hospital, Toyota, Japan 2Department of Gastrointestinal Surgery, Mie University Graduate School of Medicine, Tsu, Japan Keyword: 炎症性腸疾患 , 直腸肛門病変 , seton , サーベイランス , 癌化 pp.953-966
Published Date 2018/6/25
DOI https://doi.org/10.11477/mf.1403201408
  • Abstract
  • Look Inside
  • Reference

 The perianal disease complicated with IBD(inflammatory bowel disease)has a pathognomonic appearance, which indicates the precise diagnosis. Because the perianal disease induces negative effect on a patient's quality of life, the precise diagnosis and appropriate treatment of the perianal disease are critical in the clinical practice for IBD patients. In perianal CD(Crohn's disease), the primary lesion is treated with medication and the secondary lesion is treated by surgery, such as incisional or set-on drainage, and intensification of medication after drainage. In case of ulcerative colitis, perianal disease patient is treated identically as that for non-IBD patients. Recently, the numbers of patients with neoplasia associated with perianal CD have increased and show poor prognosis. Despite the prevalence of these cases, there is no effective surveillance method yet established for the same. Anal lesion is a gastrointestinal tract lesion that can be observed easily. Thus, it is critical to include examination of the anal lesions in routine to detect change in symptoms and the formation of anal lesion at the earliest possible.

Copyright © 2018, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院