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Best practices for Crohn’s perianal fistula

New commentary offers expert advice to help enhance physical and emotional outcomes for patients.
Crohn's perianal fistula
Crohn's perianal fistula

Crohn’s perianal fistula is a serious complication of Crohn’s disease, affecting about 25% of patients. It is linked to lower quality of life, higher hospitalization and surgery rates, increased costs, and mental health challenges.

AGA convened a multidisciplinary conference to address these challenges and released a new expert commentary summarizing practices for diagnosing, treating, and monitoring Crohn’s perianal fistula.

Watch the conference discussion and read the full commentary in Gastroenterology.

Key takeaways and recommendations:

  • Refer early to specialists to limit disease progression.
  • Use MRI or endoscopic ultrasound consistently for diagnosis and monitoring.
  • Implement a multidisciplinary team model that includes patient and caregiver voices.
  • Prioritize shared decision-making and address holistic patient needs.

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