Oncologic Risk of Perianal Disease in IBD

The risk of cancer developing in longstanding (decades) perianal disease is low indeed. There have been a few case reports of CD fistulas developing adenocarcinoma. Malignant degeneration should be considered in the differential diagnosis of all chronic nonhealing fistulas. If cancer is suspected, patients should undergo EUA with curettage of the fistulous tract for diagnosis. There is a separate chapter by Brentrall on surveillance for dysplasia in CD, as well as in ulcerative colitis (see Chapter 83, "Dysplasia Surveillance Programs").

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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