P114 perianal examination at time of colonoscopy - a missed opportunity for ibd assessment

The subtype of inflammatory bowel disease (IBD) is often not known at index colonoscopy and examining for perianal disease (PAD) can assist in establishing the diagnosis. PAD is common in Crohn ’s disease (CD) but can also be seen in patients with ulcerative colitis (UC) in the form of fissures, abscesses and fistulae. Absence of perianal symptoms does not exclude PAD. Performing a routine perianal examination in a busy outpatient setting is not ideal and the endoscopy suite may be more appropriate.

Source: Gastroenterology - January 25, 2020 Category: Gastroenterology Authors: Rajan Patel, Sina Jameie-Oskooei, Renate Fromson, Emma Routledge, Emma Johnson, William Blad, Voishim Wong Tags: Disease Activity Assessment Source Type: research