Chronic ulcerative colitis

Perianal Problems in Patients with Ulcerative Colitis

“…Perianal problems in patients with inflammatory bowel disease are usually attributed to Crohn's disease (CD) or indeterminate colitis (IC). Perianal disease associated with ulcerative colitis (UC) was initially described nearly 5 decades ago, and many reports1‐8 have documented a high prevalence of such problems in patients with UC (Table 1). For example, Edwards and Truelove2 reported that 32% of their 624 patients with UC suffered from various perianal complications, whereas Bockus et al3 reported an incidence of 18%.…”

“…Richard et al26 reported 13 of 753 patients with UC with perianal abscess. Anorectal abscess usually results from severe disease and may be related to the immunocompromised state 1,7,36‐38. It is thought that transmural involvement in the course of fulminant disease could facilitate the development of perianal abscess 36.…”

“…Because anorectal abscess in patients with UC is usually a sign of severe underlying disease,1,7 some of these patients will require colectomy. It should be kept in mind that these patients are more prone to anastomotic leaks and other complications after IPAA26‐28; therefore, temporary protective ileostomy is recommended.…”