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Inicio Gastroenterología y Hepatología (English Edition) Recommendations of the Crohn’s Disease and Ulcerative Colitis Spanish Working ...
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Recommendations of the Crohn’s Disease and Ulcerative Colitis Spanish Working Group (GETECCU) for the treatment of perianal fistulas of Crohn’s disease
Recomendaciones del Grupo Español de Trabajo de Enfermedad de Crohn y Colitis Ulcerosa (GETECCU) para el tratamiento de las fístulas perianales de la enfermedad de Crohn
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Marta M. Boscáa, Rafael Alósb, Nuria Marotoc, Javier P. Gisbertd, Belén Beltráne, María Chaparrod, Pilar Nose, Miguel Míngueza, Joaquin Hinojosac,
Corresponding author
jhinojosad@gmail.com

Corresponding author.
a Servicio de Medicina Digestiva, Hospital Clínico Universitario, Valencia, Spain
b Servicio de Cirugía General y Digestiva, Hospital Universitario La Fe, Valencia, Spain
c Servicio de Medicina Digestiva, Hospital Universitario de Manises, Manises, Valencia, Spain
d Servicio de Medicina Digestiva, Hospital Universitario de La Princesa, Madrid, Spain
e Servicio de Medicina Digestiva, Hospital Universitario La Fe, Valencia, Spain
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Table 1. Classification of lesions of perianal Crohn's disease.
Table 2. Perianal disease activity index (PDAI).
Table 3. American Gastroenterological Association (AGA) classification of perianal fistulas.
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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
Perianal fistulas
Medical treatment
Surgical treatment
Resumen

Las recomendaciones son consejos dados por considerarse beneficiosos y no dejan de ser sugerencias, abiertas por tanto a diferentes interpretaciones. En ese sentido, el objetivo final de la revisión ha sido, con las evidencias disponibles, intentar homogeneizar al máximo la aproximación al diagnóstico y tratamiento medicoquirúrgico de una de las manifestaciones más complejas de la enfermedad de Crohn como son las fístulas perianales simples y complejas.

Palabras clave:
Enfermedad de Crohn
Fístulas perianales
Tratamiento médico
Tratamiento quirúrgico

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