The management of perianal Crohn's disease

Crohn's disease (Granulomatous Colitis) is often accompanied by perianal lesions which can be difficult to treat. Different management modalities have been tried with variable results, these included; surgery, medical therapy, and diet. There has been few prospective controlled trials of treatment performed, and from most studies it is difficult to draw any definitive conclusions because of the variations in disease severity and treatment. The aim of this review is to clarify the position of different modalities of management with emphasis on the results, and complications.