Perianal complications are common and morbid in children with Crohn’s disease. In this review, we describe the epidemiology, the presentation and diagnosis, evaluation and management. We focus on updates such as the increasing frequency of biologic medications and MRI for evaluation. We also highlight controversies on the timing and approaches to surgical techniques. Finally, perianal disease requires the coordination of multidisciplinary care with nursing, radiology, gastroenterology, and surgery to optimize outcomes – both medical and patient-centered.

中文翻译：

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肛周疾病：缩小差距的最新进展和争议

肛周并发症在患有克罗恩病的儿童中很常见且病态。在这篇综述中，我们描述了流行病学、表现和诊断、评估和管理。我们关注更新，例如生物药物和 MRI 评估频率的增加。我们还强调了关于手术技术的时机和方法的争议。最后，肛周疾病需要护理、放射学、胃肠病学和外科手术等多学科护理的协调，以优化结果——以医疗和患者为中心。