Abstract
To evaluate the outcome of surgery for ulcerative colitis in pediatric and adolescent patients, the experience at the Cleveland Clinic Foundation was reviewed retrospectively. Fifty-nine percent of the patients presented with acute toxic colitis and sepsis; 94 percent underwent staged procedures with creation of a temporary or permanent ileostomy. Sepsis was the most frequent postoperative complication (38 percent), and accounted for all three deaths (5 percent). Long-term disability was minimal, and 90 percent of the patients were fully active at the time of follow-up.
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References
Levin P, Fonkalsrud EW, Barker W. Surgical treatment for pediatric ulcerative colitis. Surgery 1966;60:201–11.
Frey CF, Weaver DK. Colectomy in children with ulcerative and granulomatous colitis. Arch Surg 1972;104:416–23.
Tumen HJ, Valdes-Dapena A, Haddad H Indications for surgical intervention in ulcerative colitis in children. Am J Dis Child 1968;116:641–51.
Werlin SC, Grand RJ. Severe colitis in children and adolescents: diagnostic course and treatment. Gastroenterology 1977;73:828–37.
Ritchie JK. Ulcerative colitis treated by ileostomy and excisional surgery: fifteen years' experience at St. Mark's Hospital. Br J Surg 1972;59:345–51.
Foglia R, Ament ME, Fleisher D, Fonkalsrud EW. Surgical management of ulcerative colitis in childhood. Am J Surg 1977;134: 58–63.
Booth IW, Harris JT. Inflammatory bowel disease in childhood. Gut 1984;25:188–202.
Davidson M, Bloom AA, Kugler MM. Chronic ulcerative colitis in childhood. J Pediatr 1965;64:471–90.
Ehrenpreis T Surgical treatment of ulcerative colitis in childhood. Arch Dis Child 1966;41:137–42.
Block GE, Moosa AR, Siminovitz D, Hassan SZ. Emergency colectomy for inflammatory bowel disease. Surgery 1977;82:531–6.
Fazio VW. Toxic megacolon in ulcerative colitis and Crohn's colitis. Clin Gastroenterol 1980;9:389–407.
Turnbull RB Jr, Hawk WA, Weakley FL Surgical treatment of toxic megacolon: ileostomy and colostomy to prepare patients for colectomy. Am J Surg 1971;122:325–31.
Devroede JG, Taylor WF, Sauer WG, Jackman RJ, Stickler GB. Cancer risk and life expectancy of children with ulcerative colitis. N Engl J Med 1971;285:17–21.
Michener WM, Gage RP, Sauer WG, Stickler GB. The prognosis of chronic ulcerative colitis in children. N Engl J Med 1961;265: 1075–9.
Butt JH, Lennard-Jones JE, Ritchie JK. A practical approach to the risk of cancer in inflammatory bowel disease. Med Clin North Am 1980;64:1203–20.
Lennard-Jones JE, Morson BC, Ritchie JK, Shove DC, Williams CB. Cancer in colitis: assessment of the individual risk by clinical and histologic criteria. Gastroenterology 1977;73:1280–9.
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Read at the meeting of the American Society of Colon and Rectal Surgeons, Washington, D.C., April 5 to 10, 1986.
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Trudel, J.L., Lavery, I.C., Fazio, V.W. et al. Surgery for ulcerative colitis in the pediatric population. Dis Colon Rectum 30, 747–750 (1987). https://doi.org/10.1007/BF02554619
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DOI: https://doi.org/10.1007/BF02554619