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['ibd', 'crohn']
 reinforced that young age and perianal disease are poor prognostic factors! thus, the use of combined therapy, anti-tnf (higher levels) with is associated with rectal examination under anesthesia are the gold standard in the management of perianal cd #aibd2022 
M.D., PhD., Colorectal surgeon and IBD Specialist! School of Medicine, Ribeirão Preto, University of São Paulo