Titlebook: Difficult Decisions in Colorectal Surgery; Konstantin Umanskiy,Neil Hyman Book 2023Latest edition The Editor(s) (if applicable) and The Au

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Surgical vs Medical Management of Symptomatic Anal Fistulas in Patients with Crohn’s Diseaserldwide, and it can be the initial presenting phenotype in 10% of CD patients. Perianal fistulizing disease is quite heterogeneous in its presentation, and complete remission is notoriously challenging to achieve. As such, a multidisciplinary medical and surgical approach is required in order to maximize optimal patient outcomes.

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https://doi.org/10.1007/978-3-031-42303-1Inflammatory bowel disease; Rectal cancer; Colon cancer; Benign colon diseases; Colonic diseases; Benign

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978-3-031-42305-5The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerl

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Konstantin Umanskiy,Neil HymanUse of a PICO table and recommendation boxes allows the reader to easily identify useful clinical guidelines.Each chapter has questions using standard formatting so the reader can quickly identify the

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Difficult Decisions in Surgery: An Evidence-Based Approachhttp://image.papertrans.cn/d/image/278959.jpg

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https://doi.org/10.1007/978-3-658-37690-1s of treatment are typically achieved through multimodal management, which minimizes surgical intervention and preserves the sphincter complex. While there is a broad spectrum of severity of perianal CD, even the perceived minor issue of fissure-in-ano, which occurs in 20–40% of patients, can presen