Department of Medicine, University of Otago, Christchurch 8011, Canterbury, New Zealand.
Department of Gastroenterology, Alfred Health, Melbourne 3004, Victoria, Australia.
World J Gastroenterol. 2024 Oct 21;30(39):4260-4266. doi: 10.3748/wjg.v30.i39.4260.
In this editorial we comment on the article by Pacheco published in a recent issue of the . We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making. This editorial aims to reflect on these aspects to help clinicians face the challenge of PFCD in day-to-day clinical practice.
在这篇社论中，我们对 Pacheco 发表在最近一期 上的文章进行了评论。我们特别关注肛周瘘管性克罗恩病（PFCD）的疾病负担以及这种疾病管理中的诊断和治疗挑战。不断发展的证据已经将 PFCD 的诊断框架从解剖分类系统转变为更细致入微、以患者为中心的系统，以推动持续的决策制定。这篇社论旨在反思这些方面，帮助临床医生应对日常临床实践中 PFCD 的挑战。
