Surgery for ulcerative colitis in pediatric patients: Functional results of 10-year follow-up with straight endorectal pull-through

Emanuela Ceriati, Fiorella Deganello, Francesco De Peppo, Guido Ciprandi, Massimiliano Silveri, Paola Marchetti, Lucilla Ravà, Massimo Rivosecchi

Research output: Contribution to journalArticlepeer-review

Abstract

Children and adolescents affected by ulcerative colitis (UC) frequently require colectomy because of refractory or chronic symptoms. The aim of this paper is to present our experience and 10-year follow-up results of 28 patients who underwent endorectal pull-through (ERPT) as surgical treatment for UC, with special regard to surgical complications, stooling patterns (frequency of defecation, stool consistency, urgency period), fecal incontinence, and quality of life. A retrospective chart review of these patients was performed to evaluate age at colectomy, indication for surgical treatment, operative procedures, technical details, and early or late complications. Frequency of defecation was less than twice per day in two patients, between three and five times per day in nine patients, and more than six times per day in 10 patients. Stool consistency was normal in 14 patients, loose in five, and liquid in only two cases. Urgency period was normal (minutes) in 14 patients, short (seconds) in four, and absent in three. Ten patients (47%) have perfect or good fecal continence, whereas 11 (52%) patients present moderate to total incontinence. The self-reported emotional health was good in most of the patients. A large number are progressing well at school and are coping with their operations. Studies of quality of life in UC patients who underwent surgical treatment in childhood or adolescence, comparing as well the results according to the surgical technique adopted, must be encouraged.

Original languageEnglish
Pages (from-to)573-578
Number of pages6
JournalPediatric Surgery International
Volume20
Issue number8
DOIs
Publication statusPublished - Aug 2004

Keywords

  • Endorectal pull-through
  • Long-term follow-up
  • Ulcerative colitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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