Granulomas in Diagnostic Biopsies Associated With High Risk of Crohn's Complications-But May Be Preventable.
Lindsey S LawrenceAmer HeiderAndrew A M SingerHaley C NeefJeremy AdlerPublished in: Inflammatory bowel diseases (2021)
Granulomas are associated with increased risk of perianal fistula but not stricture. Steroid sparing therapies seem to reduce the risk of both perianal fistula and stricture. For those with granulomas, anti-TNF-α therapy greatly reduced the risk of perianal fistula development, whereas immunomodulators did not.