2021 European Guideline on the management of proctitis, proctocolitis and enteritis caused by sexually transmissible pathogens

This guideline intents to offer guidance on the diagnosis and management of patients with gastrointestinal symptoms a suspected sexually transmitted cause. Proctitis is defined as an inflammatory syndrome anal canal and/or rectum. Infectious proctitis can be via genital–anal mucosal contact, but some also digital contact toys. Neisseria gonorrhoeae, Chlamydia trachomatis (including lymphogranuloma venereum), Treponema pallidum herpes simplex virus are most common anorectal pathogens. Shigellosis transferred oral–anal may lead proctocolitis or enteritis. Although studies these infections have concentrated men who sex (MSM), women having intercourse at risk. A presumptive clinical made when there signs, definitive results laboratory tests available. The include itching, pain, tenesmus, bleeding, constipation discharge in around canal. majority rectal chlamydia gonococcal asymptomatic only detected by tests. Therefore, especially history receptive exclusion generally indicated part standard screening for (STIs). Condom use does not guarantee protection from STIs, which often spread without penile penetration. New this updated is: (i) venereum increasingly found HIV-negative MSM, (ii) Mycoplasma genitalium infection should considered symptomatic after other causations such N. C. trachomatis, syphilis herpes, (iii) intestinal spirochetosis incidentally colonic biopsies confused syphilis, (iv) traumatic causes active patients.