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In our 36 cases of Crohn's disease, 23 cases i. e., about 60%, visited the hospital with their chief complaints of symptoms derived from anal lesions, which contributes much to the revelation of Crohn's disease.<BR>The anal lesions are grouped into fistula and perianal abscess (19 cases), skin tag (14) and fissure(11).<BR>The characteristics of the anal morbidities in Crohn's disease are; distribution over wide areas, severity in the degrees, the intractability, the apparently characteristic appearances, precedence to the intestinal tract lesions, difficulty in the cure and liability to the recurrence.<BR>However, after the control of the morbidity and restoration of the intestinal disorders and systemic conditions, the cure or the improvement of high rate is anticipated, if the operation is performed.<BR>In our cases, good results could be obtained by the conservative therapies or resection, such as 17 in 19 cases of fistula, 9 in 11 cases of fissure and 13 in 14 cases of swelling.
日本大腸肛門病学会の論文