Mistakes in managing perianal disease and how to avoid them

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Mistakes in managing perianal disease and how to avoid them

John T. Jenkins, Philip J. Tozer

Summary

AI Generated

This material discusses common and important mistakes in the management of perianal disease, a condition with varied presentations that significantly impairs quality of life.

Perianal disease takes many forms, is very common, and can significantly impair quality of life through symptoms including pain, bleeding, discharge, and pruritus.
These symptoms are common to several conditions that are sometimes difficult to disentangle from one another.
It is crucial to identify serious causes of perianal symptoms while also reducing the burden of less dangerous but debilitating conditions that can interfere with work, social, or intimate life.
The material presents management mistakes based on evidence where available and clinical experience where evidence is not available.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Perianal disease takes many forms, is very common and can impair quality of life significantly. The symptoms of perianal disease, including pain, bleeding, discharge and pruritus, are common to several conditions that are sometimes difficult to disentangle. It is crucial to identify the serious causes of perianal symptoms, but also to reduce the burden of the less dangerous conditions that nevertheless can be debilitating and interfere with an individual’s work, social or intimate life. Below we discuss some of the frequent and important mistakes made in the management of perianal disease based, where possible, on evidence, and where not, on clinical experience.

Topics

IBD Surgery

Citation

Tozer P and Jenkins JT. Mistakes in managing perianal disease and how to avoid them. UEG Education 2016: 16; 43–45.

Published

2016

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UEG Mistakes In Articles

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Mistakes in ostomy management and how to avoid them

Revital Barkan, Ian White, Iris Dotan

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Abstract

Ostomy management refers to the care and maintenance of an ostomy and involves various aspects to ensure the individual’s health, comfort, and quality of life. This should involve the patient, a close support system (family and/or friends), and a healthcare team, including ostomy nurses and healthcare professionals specialising in ostomy care.

Topics

Primary Care

Published

2025

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Mistakes in colonoscopic surveillance in IBD and how to avoid them

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Abstract

The diagnosis and management of colorectal cancer in patients who have inflammatory bowel disease is fraught with challenges and the subject is not without controversy. Optimal management requires a thorough knowledge of both diseases as well as the benefits and limitations of colonoscopic surveillance, careful IBD control, high-quality colonoscopy, robust surveillance booking mechanisms, empathic patient education and excellent communication across the multidisciplinary team looking after the patient. Make a mistake and your patient might be subjected to unnecessary life-changing surgery or exposed to an avoidably high lifetime risk of cancer. Here I discuss the mistakes that are often made when managing patients undergoing colitis surveillance. The discussion is evidence based, but where evidence is lacking, the discussion is based on my personal experience of more than 20 years in the field.

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Digestive Oncology Endoscopy IBD

Citation

Rutter MD. Mistakes in colonoscopic surveillance in IBD and how to avoid them. UEG Education 2021; 21: 26–28

Published

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IBD treatment beyond anti-TNF (Part 2: Personalized medicine)

Pradeep Mundre 1, Ignacio Catalan-Serra 2

Affiliations

1 Bradford Teaching Hospitals NHS trust, Leeds, United Kingdom

2 Norwegian University of Science and Technology, Centre for Molecular Inflammation, Trondheim, Norway

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Abstract

Topics

IBD

Published

2024

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Mistakes in small bowel bleeding and how to avoid them

Andrea Telese, Alberto Murino, Edward J Despott

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Abstract

Over the past 17 years, the disruptive impact of technologies including small bowel capsule endoscopy (SBCE), device-assisted enteroscopy (DAE) and dedicated cross-sectional imaging has transformed the investigation and management of small bowel pathology. Although a small bowel source only accounts for 5–10% of all cases of gastrointestinal bleeding,definitive management of small bowel bleeding even in the current era of advanced imaging, can still pose formidable challenges. In this brief article, we highlight frequent mistakes made in the investigation and management of small bowel bleeding and discuss strategies for their avoidance.

Topics

Small Intestine & Nutrition

Citation

Despott EJ, Telese A and Murino A. Mistakes in small bowel bleeding and how to avoid them. UEG Education 2018; 18: 27–29.

Published

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Mistakes in gastrostomy insertion and how to avoid them

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Abstract

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Topics

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Citation

Welbank T, Mistakes in gastrostomy insertion ingestion and how to avoid them. UEG Education 2024; 24: 8-11.

Published

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This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Coeliac disease with David Sanders

David S. Sanders, Pradeep Mundre

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Abstract

Topics

Small Intestine & Nutrition

Published

2026

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