Clinical characteristics of isolated perianal Crohn’s disease and validation of the TOpClass criteria: a retrospective cohort pilot study

ipCD represents a distinct phenotype with advanced fistula complexity and limited response to biologics. Younger age, anal stenosis, and more advanced fistula characteristics favor ipCD over CGD. Applying TOpClass criteria showed high specificity but moderate sensitivity; incorporating additional fistula features may improve sensitivity.

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Publication Details

Journal
Inflammatory Bowel Diseases
Published
2026-02-04
DOI
https://doi.org/10.1093/ibd/izag028
Primary Topic
Anorectal Disease Treatments and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Clinical characteristics of isolated perianal Crohn’s disease and validation of the TOpClass criteria: a retrospective cohort pilot study

Julajak Limsrivilai, Sitthipong Srisajjakul, Phichayut Phinyo, Wasuwit Wanchaitanawong et al.
Inflammatory Bowel Diseases
Anorectal Disease Treatments and Outcomes
article

Clinical characteristics of isolated perianal Crohn’s disease and validation of the TOpClass criteria: a retrospective cohort pilot study

Julajak Limsrivilai, Sitthipong Srisajjakul, Phichayut Phinyo, Wasuwit Wanchaitanawong, Marianee Salaemae, Varut Lohsiriwat
article en

Abstract

ipCD represents a distinct phenotype with advanced fistula complexity and limited response to biologics. Younger age, anal stenosis, and more advanced fistula characteristics favor ipCD over CGD. Applying TOpClass criteria showed high specificity but moderate sensitivity; incorporating additional fistula features may improve sensitivity.

Inflammatory Bowel Diseases
Siriraj Hospital (TH), Chiang Mai University (TH)
Good health and well-being
Openalex Percentile: Top 48%
Anorectal Disease Treatments and Outcomes
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