{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:54:35Z","timestamp":1790394875115,"version":"4.1.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2019,4]]},"DOI":"10.1007\/s10151-019-01971-6","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T15:04:46Z","timestamp":1554131086000},"page":"353-360","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["How to manage anal ulcerations and anorectal stenosis in Crohn\u2019s disease: algorithm-based decision making"],"prefix":"10.1007","volume":"23","author":[{"given":"D.","family":"Bouchard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Brochard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Vinson-Bonnet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Staumont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Abramowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Benfredj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Fathallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-L.","family":"Faucheron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Higuero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Panis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"de Parades","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Siproudhis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Laharie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Pigot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,4,1]]},"reference":[{"key":"1971_CR1","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1007\/s10151-017-1684-y","volume":"21","author":"D Bouchard","year":"2017","unstructured":"Bouchard D, Abramowitz L, Bouguen G, Brochard C, Dabadie A, de Parades V, Eleuet-Kaplan M, Fathallah N, Faucheron J-L, Maggiori L, Panis Y, Pigot F, Roume P, Roumeguere P, S\u00e9n\u00e9joux A, Siproudhis L, Staumont G, Suduca J-M, Vinson-Bonnet B, Zeitoun J-D (2017) Anoperineal lesions in Crohn\u2019s disease: French recommendations for clinical practice. Tech Coloproctol 21:683\u2013691","journal-title":"Tech Coloproctol"},{"key":"1971_CR2","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1007\/BF02253493","volume":"35","author":"LE Hughes","year":"1992","unstructured":"Hughes LE (1992) Clinical classification of perianal Crohn\u2019s disease. Dis Colon Rectum 35:928\u2013932","journal-title":"Dis Colon Rectum"},{"key":"1971_CR3","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1053\/gast.2002.32362","volume":"122","author":"DA Schwartz","year":"2002","unstructured":"Schwartz DA, Loftus EV Jr, Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ (2002) The natural history of fistulizing Crohn\u2019s disease in Olmsted County, Minnesota. Gastroenterology 122:875\u2013880","journal-title":"Gastroenterology"},{"key":"1971_CR4","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1038\/ajg.2011.437","volume":"107","author":"TW Eglinton","year":"2012","unstructured":"Eglinton TW, Roberts R, Pearson J et al (2012) Clinical and genetic risk factors for perianal Crohn\u2019s disease in a population-based cohort. Am J Gastroenterol 107:589\u2013596","journal-title":"Am J Gastroenterol"},{"key":"1971_CR5","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1097\/00042737-199703000-00004","volume":"9","author":"L Siproudhis","year":"1997","unstructured":"Siproudhis L, Mortaji A, Mary JY, Juguet F, Bretagne JF, Gosselin M (1997) Anal lesions: any significant prognosis in Crohn\u2019s disease ? Eur J Gastroenterol Hepatol 9:239\u2013243","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"1971_CR6","doi-asserted-by":"publisher","first-page":"5371","DOI":"10.3748\/wjg.v23.i29.5371","volume":"23","author":"C Horaist","year":"2017","unstructured":"Horaist C, de Parades V, Abramowitz L et al (2017) Elaboration and validation of Crohn\u2019s disease anoperineal lesions consensual definitions. World J Gastroenterol 23:5371\u20135378","journal-title":"World J Gastroenterol"},{"key":"1971_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.crohns.2010.01.002","volume":"4","author":"S Travis","year":"2010","unstructured":"Travis S, Van Assche G, Dignass A, Cabr\u00e9 E, Gassull MA (2010) On the second ECCO Consensus on Crohn\u2019s disease. J Crohns Colitis 4:1\u20136","journal-title":"J Crohns Colitis"},{"key":"1971_CR8","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1053\/j.gastro.2008.06.079","volume":"135","author":"G Vernier-Massouille","year":"2008","unstructured":"Vernier-Massouille G, Balde M, Salleron J, Turck D, Dupas JL, Mouterde O, Merle V, Salomez JL, Branche J, Marti R, Lerebours E, Cortot A, Gower-Rousseau C, Colombel JF (2008) Natural history of pediatric Crohn\u2019s disease: a population-based cohort study. Gastroenterology 135:1106\u20131113","journal-title":"Gastroenterology"},{"key":"1971_CR9","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1007\/BF02048328","volume":"38","author":"PR Fleshner","year":"1995","unstructured":"Fleshner PR, Schoetz DJ Jr, Roberts PL, Murray JJ, Coller JA, Veidenheimer MC (1995) Anal fissure in Crohn\u2019s disease: a plea for aggressive management. Dis Colon Rectum 38:1137\u20131143","journal-title":"Dis Colon Rectum"},{"key":"1971_CR10","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/1471-230X-13-11","volume":"13","author":"S D\u2019Ugo","year":"2013","unstructured":"D\u2019Ugo S, Franceschilli L, Cadeddu F, Leccesi L, Blanco Gdel V, Calabrese E, Milito G, Di Lorenzo N, Gaspari AL, Sileri P (2013) Medical and surgical treatment of haemorrhoids and anal fissure in Crohn\u2019s disease: a critical appraisal. BMC Gastroenterol 13:11 47.","journal-title":"BMC Gastroenterol"},{"key":"1971_CR11","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1007\/BF02049859","volume":"36","author":"AF Wolkomir","year":"1993","unstructured":"Wolkomir AF, Luchtefeld MA (1993) Surgery for symptomatic hemorrhoids and anal fissures in Crohn\u2019s disease. Dis Colon Rectum 36:545\u2013547","journal-title":"Dis Colon Rectum"},{"key":"1971_CR12","first-page":"949","volume":"25","author":"A Ouraghi","year":"2001","unstructured":"Ouraghi A, Nieuviarts S, Mougenel JL et al (2001) Infliximab therapy for Crohn\u2019s disease anoperineal lesions. Gastroenterol Clin Biol 25:949\u2013956","journal-title":"Gastroenterol Clin Biol"},{"key":"1971_CR13","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1111\/j.1365-2036.2009.04089.x","volume":"30","author":"G Bouguen","year":"2009","unstructured":"Bouguen G, Trouilloud I, Siproudhis L et al (2009) Long-term outcome of non-fistulizing (ulcers, stricture) perianal Crohn\u2019s disease in patients treated with infliximab. Aliment Pharmacol Ther 30:749\u2013756","journal-title":"Aliment Pharmacol Ther"},{"key":"1971_CR14","doi-asserted-by":"publisher","first-page":"1383","DOI":"10.1056\/NEJMoa0904492","volume":"362","author":"JF Colombel","year":"2010","unstructured":"Colombel JF, Sandborn WJ, Reinisch W et al (2010) SONIC Study Group. Infliximab, azathioprine, or combination therapy for Crohn\u2019s disease. N Engl J Med 362:1383\u20131395","journal-title":"N Engl J Med"},{"key":"1971_CR15","doi-asserted-by":"crossref","unstructured":"Bouguen G, Siproudhis L, Gizard E et al (2013) Long-term outcome of perianal fistulizing Crohn\u2019s disease treated with infliximab. Clin Gastroenterol Hepatol 11:975\u201381.e1-4","DOI":"10.1016\/j.cgh.2012.12.042"},{"key":"1971_CR16","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1053\/j.gastro.2013.04.048","volume":"145","author":"J Cosnes","year":"2013","unstructured":"Cosnes J, Bourrier A, Laharie D et al (2013) Groupe d\u2019Etude Th\u00e9rapeutique des Affections Inflammatoires du Tube Digestif (GETAID). Early administration of azathioprine vs conventional management of Crohn\u2019s Disease: a randomized controlled trial. Gastroenterology 145:758\u2013765","journal-title":"Gastroenterology"},{"key":"1971_CR17","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/0022-3468(91)90694-O","volume":"26","author":"SB Palder","year":"1991","unstructured":"Palder SB, Shandling B, Bilik R, Griffiths AM, Sherman P (1991) Perianal complications of pediatric Crohn\u2019s disease. J Pediatr Surg 26:513\u2013515","journal-title":"J Pediatr Surg"},{"key":"1971_CR18","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.1016\/j.crohns.2014.04.005","volume":"8","author":"FM Ruemmele","year":"2014","unstructured":"Ruemmele FM, Veres G, Kolho KL, European Crohn\u2019s and Colitis Organisation, European Society of Pediatric Gastroenterology, Hepatology and Nutrition et al (2014) Consensus guidelines of ECCO\/ESPGHAN on the medical management of pediatric Crohn\u2019s disease. J Crohns Colitis 8:1179\u20131207","journal-title":"J Crohns Colitis"},{"key":"1971_CR19","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.1007\/s002680010250","volume":"24","author":"T Yamamoto","year":"2000","unstructured":"Yamamoto T, Allan RN, Keighley MR (2000) Effect of fecal diversion alone on perianal Crohn\u2019s disease. World J Surg 24:1258\u20131262","journal-title":"World J Surg"},{"key":"1971_CR20","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1007\/BF02234693","volume":"44","author":"JM Regimbeau","year":"2001","unstructured":"Regimbeau JM, Panis Y, Pocard M et al (2001) Long-term results of ileal pouch-anal anastomosis for colorectal Crohn\u2019s disease. Dis Colon Rectum 44:769\u2013778","journal-title":"Dis Colon Rectum"},{"key":"1971_CR21","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1111\/codi.12796","volume":"17","author":"J Gu","year":"2015","unstructured":"Gu J, Valente MA, Remzi FH, Stocchi L (2015) Factors affecting the fate of faecal diversion in patients with perianal Crohn\u2019s disease. Colorectal Dis 17:66\u201372","journal-title":"Colorectal Dis"},{"key":"1971_CR22","doi-asserted-by":"publisher","first-page":"2079","DOI":"10.1007\/s10620-017-4618-7","volume":"62","author":"AC Bafford","year":"2017","unstructured":"Bafford AC, Latushko A, Hansraj N, Jambaulikar G, Ghazi LJ (2017) The use of temporary fecal diversion in colonic and perianal crohn\u2019s disease does not improve outcomes. Dig Dis Sci 62:2079\u20132086","journal-title":"Dig Dis Sci"},{"key":"1971_CR23","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1111\/j.1463-1318.2009.02092.x","volume":"13","author":"MK Hong","year":"2011","unstructured":"Hong MK, Craig Lynch A et al (2011) Faecal diversion in the management of perianal Crohn\u2019s disease. Colorectal Dis 13:171\u2013176","journal-title":"Colorectal Dis"},{"key":"1971_CR24","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1111\/apt.13356","volume":"42","author":"S Singh","year":"2015","unstructured":"Singh S, Ding NS, Mathis KL, Dulai PS, Farrell AM, Pemberton JH, Hart AL, Sandborn WJ, Loftus EV Jr (2015) Systematic review with meta-analysis: faecal diversion for management of perianal Crohn\u2019s disease. Aliment Pharmacol Ther 42:783\u2013792","journal-title":"Aliment Pharmacol Ther"},{"key":"1971_CR25","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1007\/s10151-017-1695-8","volume":"21","author":"W Li","year":"2017","unstructured":"Li W, Stocchi L, Elagili F, Kiran RP, Strong SA (2017) Healing of the perineal wound after proctectomy in Crohn\u2019s disease patients: only preoperative perineal sepsis predicts poor outcome. Tech Coloproctol 21:715\u2013720","journal-title":"Tech Coloproctol"},{"issue":"3","key":"1971_CR26","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1046\/j.1463-1318.2000.00150.x","volume":"2","author":"S Adam","year":"2000","unstructured":"Adam S (2000 May) Perineal wound morbidity following proctectomy for inflammatory bowel disease (IBD). Colorectal Dis 2(3):165\u2013169","journal-title":"Colorectal Dis"},{"key":"1971_CR27","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1097\/00004836-199501000-00008","volume":"20","author":"EJ Irvine","year":"1995","unstructured":"Irvine EJ (1995) Usual therapy improves perianal Crohn\u2019s disease as measured by a new disease activity index. McMaster IBD Study Group. J Clin Gastroenterol 20:27\u2013321","journal-title":"J Clin Gastroenterol"},{"key":"1971_CR28","doi-asserted-by":"crossref","unstructured":"Panes J, Bouhnik Y, Reisnish W et al, Imaging techniques for assessment of inflammatory bowel diseases: joint ECCO and ESGAR evidence based consensus guidelines. J Crohns Colitis 7:556\u2013585","DOI":"10.1016\/j.crohns.2013.02.020"},{"issue":"7","key":"1971_CR29","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1002\/bjs.1800750711","volume":"75","author":"L Linares","year":"1988","unstructured":"Linares L, Moreira LF, Andrews H, Allan RN, Alexander-Williams J, Keighley MR (1988) Natural history and treatment of anorectal strictures complicating Crohn\u2019s disease. Br J Surg 75(7):653\u2013655","journal-title":"Br J Surg"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-019-01971-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10151-019-01971-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-019-01971-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T23:15:52Z","timestamp":1585610152000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10151-019-01971-6"}},"subtitle":["French National Working Group Consensus 2018"],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["1971"],"URL":"https:\/\/doi.org\/10.1007\/s10151-019-01971-6","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]},"assertion":[{"value":"17 February 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 March 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Bouchard D: Abbvie, Takeda (consultant and lecture fees), Pigot F : Abbvie (lecture fees), Abramowitz L : Abbvie, Takeda (research fees), Faucheron JL : AMI, Medtronic (consultant, research fees), Laharie D : Abbvie, Janssen, MSD, Takeda (board, lectures fees), Siproudhis L : Abbvie, Ferring, MSD, Takeda (teaching sessions, consultant, research fees). The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with human participants performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"For this type of study formal consent is not required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}