Role of surgery in pediatric ulcerative colitis

Emanuela Ceriati, Francesco De Peppo, Massimo Rivosecchi

Research output: Contribution to journalArticle

Abstract

Pediatric ulcerative colitis (UC) has a more extensive and progressive clinical course than adult UC. Therefore, more aggressive initial therapies and more frequent surgical treatments are needed. The therapeutic goal is to gain clinical and laboratory control of the disease with minimal adverse effects while permitting the patient to function as normally as possible. Approximately 5-10 % of patients with UC require acute surgical intervention because of fulminant colitis refractory to medical therapy. Mucosal proctocolectomy with ileal J-pouch anal anastomosis is currently recommended as a standard curative surgical procedure for UC in both children and adults worldwide. This review will focus on the current issues regarding the surgical indications for pediatric UC, the technical details of procedures and results of most recent published series to take the most appropriate next step to improve the surgical outcomes and patients' quality of life.

Original languageEnglish
Pages (from-to)1231-1241
Number of pages11
JournalPediatric Surgery International
Volume29
Issue number12
DOIs
Publication statusPublished - Dec 2013

Keywords

  • Children
  • Surgery
  • Ulcerative colitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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