Ulcerative colitis in children under 10 years of age

Medical and surgical treatment

M. Rivosecchi, M. C. Lucchetti, L. Dall'Oglio, A. Ponticelli, G. Federici, A. Zaccara, F. Ferretti, M. Castro

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Ulcerative colitis is seen with increasing frequency in paediatric age and its diagnosis is made more difficult by atypical cases. Sixty-five patients with UC were seen at our institute and all of them underwent medical treatment. In all patients the disease extended to the whole colon (pancolitis). Eleven patients (average age 9 yrs) underwent surgical correction by Endorectal Pull Through (EPT) 8 straight and 3 with ileal reservoir. One straight EPT had to be converted to Brooke ileostomy because of unacceptable stool frequency. In the rest of the patients the disease is well controlled with medical treatment. After 2 years of follow up surgical complications, continence, stool frequency and quality of life were evaluated : results indicate that surgical complications rate is the same as in other reported series ; furthermore, continence and stool frequency are good with all surgical techniques eve though straight pull-through may require a period of adaptation the length of which varies considerably. Our results confirm that children with pancolitis and severe symptoms should be offered prolonged medical treatment prior to undertake surgical correction.

Original languageEnglish
Pages (from-to)104-107
Number of pages4
JournalActa Chirurgica Belgica
Issue number3
Publication statusPublished - Jun 1996

Fingerprint

Ulcerative Colitis
Colonic Pouches
Ileostomy
Therapeutics
Colon
Quality of Life
Pediatrics

Keywords

  • Child
  • Colitis
  • Drug therapy
  • Inflammatory bowel diseases
  • Postoperative complications
  • Surgery
  • Ulcerative

ASJC Scopus subject areas

  • Surgery

Cite this

Rivosecchi, M., Lucchetti, M. C., Dall'Oglio, L., Ponticelli, A., Federici, G., Zaccara, A., ... Castro, M. (1996). Ulcerative colitis in children under 10 years of age: Medical and surgical treatment. Acta Chirurgica Belgica, (3), 104-107.

Ulcerative colitis in children under 10 years of age : Medical and surgical treatment. / Rivosecchi, M.; Lucchetti, M. C.; Dall'Oglio, L.; Ponticelli, A.; Federici, G.; Zaccara, A.; Ferretti, F.; Castro, M.

In: Acta Chirurgica Belgica, No. 3, 06.1996, p. 104-107.

Research output: Contribution to journalArticle

Rivosecchi, M, Lucchetti, MC, Dall'Oglio, L, Ponticelli, A, Federici, G, Zaccara, A, Ferretti, F & Castro, M 1996, 'Ulcerative colitis in children under 10 years of age: Medical and surgical treatment', Acta Chirurgica Belgica, no. 3, pp. 104-107.
Rivosecchi M, Lucchetti MC, Dall'Oglio L, Ponticelli A, Federici G, Zaccara A et al. Ulcerative colitis in children under 10 years of age: Medical and surgical treatment. Acta Chirurgica Belgica. 1996 Jun;(3):104-107.
Rivosecchi, M. ; Lucchetti, M. C. ; Dall'Oglio, L. ; Ponticelli, A. ; Federici, G. ; Zaccara, A. ; Ferretti, F. ; Castro, M. / Ulcerative colitis in children under 10 years of age : Medical and surgical treatment. In: Acta Chirurgica Belgica. 1996 ; No. 3. pp. 104-107.
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