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Pediatric Inflammatory Bowel Disease pp 405–415Cite as

Surgical Management of Crohn Disease in Children

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Abstract

Surgery plays an important role in the treatment of Crohn disease. Crohn disease has a major impact on quality of life in the pediatric population and unfortunately, despite the dramatic improvements in medical therapies, 70–80 % of patients who carry the diagnosis of Crohn disease undergo some type of surgical procedure at some point during the course of their disease. The indications for surgery have evolved over time with a trend toward a less invasive procedures and fewer emergency surgery operations because of an acute complication of the disease. However, the basic role of surgery has not changed. Crohn disease cannot be cured in the operating room so the procedures are palliative by nature. Surgery is unavoidable in some cases and the preferred treatment option in many others. As with many diseases in children, studies specific to the pediatric population are not always available making it necessary to extrapolate the results of adult series when considering treatment options for younger patients. Although some differences between the patient populations exist, the philosophy remains the same. Surgical intervention is an integral part of the management of patients with Crohn disease but should be invoked judiciously to avoid the potential for long-term consequences of multiple bowel resections and procedures should always be carried out with the long-term potential for short bowel syndrome in mind.

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References

  1. Rabbett H, Elbadri A, Thwaites R, et al. Quality of life in children with Crohn disease. J Pediatr Gastroenterol Nutr. 1996;23(5):528–33.

    Article  PubMed  CAS  Google Scholar 

  2. Hancock L, Windsor AC, Mortensen NJ. Inflammatory bowel disease: the view of the surgeon. Colorectal Dis. 2006;8 Suppl 1:10–4.

    Article  PubMed  Google Scholar 

  3. Schraut WH. The surgical management of Crohn disease. Gastroenterol Clin North Am. 2002;31(1):255–63.

    Article  PubMed  CAS  Google Scholar 

  4. Poggioli G, Pierangeli F, Laureti S, Ugolini F. Review article: indication and type of surgery in Crohn disease. Aliment Pharmacol Ther. 2002;16 Suppl 4:59–64.

    Article  PubMed  Google Scholar 

  5. Leowardi C, Heuschen G, Kienle P, et al. Surgical treatment of severe inflammatory bowel diseases. Dig Dis. 2003;21(1): 54–62.

    Article  PubMed  Google Scholar 

  6. Dolgin SE. Surgical management of upper gastrointestinal and small bowel Crohn disease. Sem Pediatr Surg. 2007;16:172–7.

    Article  Google Scholar 

  7. Aufses Jr AH. The history of Crohn disease. Surg Clin North Am. 2001;81(1):1–11. vii.

    Article  PubMed  Google Scholar 

  8. Garlock JH, Crohn BB. Appraisal of results of surgery in the treatment of regional enteritis. J Am Med Assoc. 1945;127:205–8.

    Article  Google Scholar 

  9. Greenstein AJ, Sachar D, Pucillo A, et al. Cancer in Crohn disease after divisionary surgery. A report of seven carcinomas occurring in excluded bowel. Am J Surg. 1978;135:86–90.

    Article  PubMed  CAS  Google Scholar 

  10. Griffiths AM, Alemayehu E, Sherman P. Clinical features of gastroduodenal Crohn disease in adolescents. J Pediatr Gastroenterol Nutr. 1989;86:259–62.

    Google Scholar 

  11. Dziki A, Galbfach P. Crohn disease–when to operate? Acta Chir Iugosl. 2004;51(2):61–8.

    Article  PubMed  CAS  Google Scholar 

  12. McLeod RS. Surgery for inflammatory bowel diseases. Dig Dis. 2003;21(2):168–79.

    Article  PubMed  Google Scholar 

  13. Veroux M, Angriman I, Ruffolo C, et al. Severe gastrointestinal bleeding in Crohn disease. Ann Ital Chir. 2003;74(2):213–5. discussion 6.

    PubMed  CAS  Google Scholar 

  14. Andersson P, Olaison G, Bodemar G, et al. Surgery for Crohn colitis over a twenty-eight-year period: fewer stomas and the replacement of total colectomy by segmental resection. Scand J Gastroenterol. 2002;37(1):68–73.

    Article  PubMed  CAS  Google Scholar 

  15. Hurst RD, Molinari M, Chung TP, et al. Prospective study of the features, indications, and surgical treatment in 513 consecutive patients affected by Crohn disease. Surgery. 1997;122(4):661–7. discussion 7–8.

    Article  PubMed  CAS  Google Scholar 

  16. Alvarez-Lobos M, Arostegui JI, Sans M, et al. Crohn disease patients carrying Nod2/CARD15 gene variants have an increased and early need for first surgery due to stricturing disease and higher rate of surgical recurrence. Ann Surg. 2005;242(5): 693–700.

    Article  PubMed  Google Scholar 

  17. Mazor Y, Maza I, Kaufman E, Ben-Horin S, Karban A, Chowers Y, et al. Prediction of disease complication occurrence in Crohn disease using phenotype and genotype parameters at diagnosis. J Crohns Colitis. 2011;5(6):592–7.

    Article  PubMed  Google Scholar 

  18. Rufo PA, Bousvaros A. Current therapy of inflammatory bowel disease in children. Paediatr Drugs. 2006;8(5):279–302.

    Article  PubMed  Google Scholar 

  19. Patel HI, Leichtner AM, Colodny AH, Shamberger RC. Surgery for Crohn disease in infants and children. J Pediatr Surg. 1997;32(7):1063–7. discussion 7–8.

    Article  PubMed  CAS  Google Scholar 

  20. Dokucu AI, Sarnacki S, Michel JL, et al. Indications and results of surgery in patients with Crohn disease with onset under 10 years of age: a series of 18 patients. Eur J Pediatr Surg. 2002;12(3): 180–5.

    Article  PubMed  CAS  Google Scholar 

  21. Konno M, Kobayashi A, Tomomasa T, et al. Guidelines for the treatment of Crohn disease in children. Pediatr Int. 2006;48(3): 349–52.

    Article  PubMed  CAS  Google Scholar 

  22. Heuschkel R, Salvestrini C, Beattie RM, Hildebrand H, Walters T, Griffiths A. Guidelines for the management of growth failure in childhood inflammatory bowel disease. Inflamm Bowel Dis. 2008;14(6):839–49.

    Article  PubMed  Google Scholar 

  23. Nissan A, Zamir O, Spira RM, et al. A more liberal approach to the surgical treatment of Crohn disease. Am J Surg. 1997;174(3):339–41.

    Article  PubMed  CAS  Google Scholar 

  24. Berg DF, Bahadursingh AM, Kaminski DL, Longo WE. Acute surgical emergencies in inflammatory bowel disease. Am J Surg. 2002;184(1):45–51.

    Article  PubMed  Google Scholar 

  25. Ecker KW, Gierend M, Kreissler-Haag D, Feifel G. Reoperations at the ileostomy in Crohn disease reflect inflammatory activity rather than surgical stoma complications alone. Int J Colorectal Dis. 2001;16(2):76–80.

    Article  PubMed  CAS  Google Scholar 

  26. Froehlich F, Juillerat P, Mottet C, et al. Obstructive fibrostenotic Crohn disease. Digestion. 2005;71(1):29–30.

    Article  PubMed  Google Scholar 

  27. Karaoglu AO, Yukselen V. Obstructing Crohn disease of the duodenum: is surgery always mandatory? Int J Clin Pract. 2004;58(2):221–3.

    Article  PubMed  CAS  Google Scholar 

  28. Heimann TM, Greenstein AJ, Lewis B, et al. Comparison of primary and reoperative surgery in patients with Crohns disease. Ann Surg. 1998;227(4):492–5.

    Article  PubMed  CAS  Google Scholar 

  29. Tillack C, Seiderer J, Brand S, Göke B, Reiser MF, Schaefer C, et al. Correlation of magnetic resonance enteroclysis (MRE) and wireless capsule endoscopy (CE) in the diagnosis of small bowel lesions in Crohn disease. Inflamm Bowel Dis. 2008;14(9): 1219–28.

    Article  PubMed  Google Scholar 

  30. Efron JE, Young-Fadok TM. Preoperative optimization of Crohn disease. Clin Colon Rectal Surg. 2007;20(4):303–8.

    Article  PubMed  Google Scholar 

  31. Solem CA, Loftus Jr EV, Tremaine WJ, et al. Fistulas to the urinary system in Crohn disease: clinical features and outcomes. Am J Gastroenterol. 2002;97(9):2300–5.

    Article  PubMed  Google Scholar 

  32. Present DH. Urinary tract fistulas in Crohn disease: surgery versus medical therapy. Am J Gastroenterol. 2002;97(9):2165–7.

    Article  PubMed  Google Scholar 

  33. Gruner JS, Sehon JK, Johnson LW. Diagnosis and management of enterovesical fistulas in patients with Crohn disease. Am Surg. 2002;68(8):714–9.

    PubMed  Google Scholar 

  34. Ben-Ami H, Ginesin Y, Behar DM, et al. Diagnosis and treatment of urinary tract complications in Crohn disease: an experience over 15 years. Can J Gastroenterol. 2002;16(4):225–9.

    PubMed  Google Scholar 

  35. Akobeng AK, Suresh-Babu MV, Firth D, et al. Quality of life in children with Crohn disease: a pilot study. J Pediatr Gastroenterol Nutr. 1999;28(4):S37–9.

    Article  PubMed  CAS  Google Scholar 

  36. Glehen O, Lifante JC, Vignal J, et al. Small bowel length in Crohn disease. Int J Colorectal Dis. 2003;18(5):423–7.

    Article  PubMed  CAS  Google Scholar 

  37. Yamamoto T, Bain IM, Mylonakis E, et al. Stapled functional end-to-end anastomosis versus sutured end-to-end anastomosis after ileocolonic resection in Crohn disease. Scand J Gastroenterol. 1999;34(7):708–13.

    Article  PubMed  CAS  Google Scholar 

  38. Ikeuchi H, Kusunoki M, Yamamura T. Long-term results of stapled and hand-sewn anastomoses in patients with Crohn disease. Dig Surg. 2000;17(5):493–6.

    Article  PubMed  CAS  Google Scholar 

  39. Tersigni R, Alessandroni L, Barreca M, et al. Does stapled functional end-to-end anastomosis affect recurrence of Crohn disease after ileocolonic resection? Hepatogastroenterology. 2003;50(53): 1422–5.

    PubMed  Google Scholar 

  40. Yamamoto T. Factors affecting recurrence after surgery for Crohn disease. World J Gastroenterol. 2005;11(26):3971–9.

    PubMed  Google Scholar 

  41. Resegotti A, Astegiano M, Farina EC, et al. Side-to-side stapled anastomosis strongly reduces anastomotic leak rates in Crohn disease surgery. Dis Colon Rectum. 2005;48(3):464–8.

    Article  PubMed  Google Scholar 

  42. Larson DW, Pemberton JH. Current concepts and controversies in surgery for IBD. Gastroenterology. 2004;126(6):1611–9.

    Article  PubMed  Google Scholar 

  43. Munoz-Juarez M, Yamamoto T, Wolff BG, Keighley MR. Wide-lumen stapled anastomosis vs. conventional end-to-end anastomosis in the treatment of Crohn disease. Dis Colon Rectum. 2001;44(1):20–5. discussion 5–6.

    Article  PubMed  CAS  Google Scholar 

  44. Yamamoto T, Allan RN, Keighley MR. Strategy for surgical management of ileocolonic anastomotic recurrence in Crohn disease. World J Surg. 1999;23(10):1055–60. discussion 60–1.

    Article  PubMed  CAS  Google Scholar 

  45. Cunningham MF, Docherty NG, Coffey JC, Burke JP, O’Connell PR. Postsurgical recurrence of ileal Crohn disease: an update on risk factors and intervention points to a central role for impaired host-microflora homeostasis. World J Surg. 2010;34(7):1615–26.

    Article  PubMed  Google Scholar 

  46. Scarpa M, Angriman I, Barollo M, et al. Role of stapled and hand-sewn anastomoses in recurrence of Crohn disease. Hepatogastroenterology. 2004;51(58):1053–7.

    PubMed  Google Scholar 

  47. Smedh K, Andersson M, Johansson H, Hagberg T. Preoperative management is more important than choice of sutured or stapled anastomosis in Crohn disease. Eur J Surg. 2002;168(3):154–7.

    Article  PubMed  Google Scholar 

  48. Yamamoto T, Keighley MR. Stapled functional end-to-end anastomosis in Crohn disease. Surg Today. 1999;29(7):679–81.

    Article  PubMed  CAS  Google Scholar 

  49. Galandiuk S. Stapled and hand-sewn anastomoses in Crohn disease. Dig Surg. 1998;15(6):655.

    Article  PubMed  CAS  Google Scholar 

  50. Hashemi M, Novell JR, Lewis AA. Side-to-side stapled anastomosis may delay recurrence in Crohn disease. Dis Colon Rectum. 1998;41(10):1293–6.

    Article  PubMed  CAS  Google Scholar 

  51. Colombel JF, Loftus Jr EV, Tremaine WJ, et al. Early postoperative complications are not increased in patients with Crohn disease treated perioperatively with infliximab or immunosuppressive therapy. Am J Gastroenterol. 2004;99(5):878–83.

    Article  PubMed  CAS  Google Scholar 

  52. Dietz DW, Fazio VW, Laureti S, et al. Strictureplasty in diffuse Crohn jejunoileitis: safe and durable. Dis Colon Rectum. 2002;45(6):764–70.

    Article  PubMed  Google Scholar 

  53. Laurent S, Detry O, Detroz B, et al. Strictureplasty in Crohn disease: short- and long-term follow-up. Acta Chir Belg. 2002;102(4):253–5.

    PubMed  CAS  Google Scholar 

  54. Dasari BV, Maxwell R, Gardiner KR. Assessment of complications following strictureplasty for small bowel Crohn Disease. Ir J Med Sci. 2010;179(2):201–5.

    Article  PubMed  CAS  Google Scholar 

  55. Hurst RD, Michelassi F. Strictureplasty for Crohn disease: techniques and long-term results. World J Surg. 1998;22(4):359–63.

    Article  PubMed  CAS  Google Scholar 

  56. Poggioli G, Laureti S, Pierangeli F, Ugolini F. A new model of strictureplasty for multiple and long stenoses in Crohn ileitis: side-to-side diseased to disease-free anastomosis. Dis Colon Rectum. 2003;46(1):127–30.

    Article  PubMed  CAS  Google Scholar 

  57. Shatari T, Clark MA, Yamamoto T, et al. Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn disease. Colorectal Dis. 2004;6(6):438–41.

    Article  PubMed  CAS  Google Scholar 

  58. Sampietro GM, Cristaldi M, Maconi G, et al. A prospective, longitudinal study of nonconventional strictureplasty in Crohn disease. J Am Coll Surg. 2004;199(1):8–20. discussion −2.

    Article  PubMed  Google Scholar 

  59. Michelassi F, Upadhyay GA. Side-to-side isoperistaltic strictureplasty in the treatment of extensive Crohn disease. J Surg Res. 2004;117(1):71–8.

    Article  PubMed  Google Scholar 

  60. Tonelli F, Fedi M, Paroli GM, Fazi M. Indications and results of side-to-side isoperistaltic strictureplasty in Crohn disease. Dis Colon Rectum. 2004;47(4):494–501.

    Article  PubMed  Google Scholar 

  61. Eisenberger CF, Izbicki JR, Broering DC, et al. Strictureplasty with a pedunculated jejunal patch in Crohn disease of the duodenum. Am J Gastroenterol. 1998;93(2):267–9.

    Article  PubMed  CAS  Google Scholar 

  62. Milsom JW, Hammerhofer KA, Bohm B, et al. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn disease. Dis Colon Rectum. 2001;44(1):1–8. discussion −9.

    Article  PubMed  CAS  Google Scholar 

  63. Dutta S, Rothenberg SS, Chang J, Bealer J. Total intracorporeal laparoscopic resection of Crohn disease. J Pediatr Surg. 2003;38(5):717–9.

    Article  PubMed  CAS  Google Scholar 

  64. Tilney HS, Constantinides VA, Heriot AG, et al. Comparison of laparoscopic and open ileocecal resection for Crohn disease: a metaanalysis. Surg Endosc. 2006;20(7):1036–44.

    Article  PubMed  CAS  Google Scholar 

  65. Bonnard A, Fouquet V, Berrebi D, et al. Crohn disease in children. Preliminary experience with a laparoscopic approach. Eur J Pediatr Surg. 2006;16(2):90–3.

    Article  PubMed  CAS  Google Scholar 

  66. Maartense S, Dunker MS, Slors JF, et al. Laparoscopic-assisted versus open ileocolic resection for Crohn disease: a randomized trial. Ann Surg. 2006;243(2):143–9. discussion 50–3.

    Article  PubMed  Google Scholar 

  67. Casillas S, Delaney CP. Laparoscopic surgery for inflammatory bowel disease. Dig Surg. 2005;22(3):135–42.

    Article  PubMed  Google Scholar 

  68. Hirayama I, Ide M, Shoji H, et al. Laparoscopic-assisted partial ileectomy for Crohn disease associated with chronic anemia due to frequent hemorrhage. Hepatogastroenterology. 2005;52(63):823–5.

    PubMed  Google Scholar 

  69. Huilgol RL, Wright CM, Solomon MJ. Laparoscopic versus open ileocolic resection for Crohn disease. J Laparoendosc Adv Surg Tech A. 2004;14(2):61–5.

    Article  PubMed  Google Scholar 

  70. von Allmen D, Markowitz JE, York A, et al. Laparoscopic-assisted bowel resection offers advantages over open surgery for treatment of segmental Crohn disease in children. J Pediatr Surg. 2003;38(6):963–5.

    Article  Google Scholar 

  71. Shore G, Gonzalez QH, Bondora A, Vickers SM. Laparoscopic vs conventional ileocolectomy for primary Crohn disease. Arch Surg. 2003;138(1):76–9.

    Article  PubMed  Google Scholar 

  72. Dasari BVM, McKay D, Gardiner K. Laparoscopic versus Open surgery for small bowel Crohn disease. Cochrane Database Syst Rev. 2011;(1):CD006956. doi:10.1002/14651858.CD006956.pub2.

  73. Diamond IR, Gerstle JT, Kim PC, Langer JC. Outcomes after laparoscopic surgery in children with inflammatory bowel disease. Surg Endosc. 2010;24(11):2796–802.

    Article  PubMed  Google Scholar 

  74. Zaghiyan KN, Murrell Z, Fleshner PR. Scarless single-incision laparoscopic loop ileostomy: a novel technique. Dis Colon Rectum. 2011;54(12):1542–6.

    Article  PubMed  Google Scholar 

  75. Wu JS, Birnbaum EH, Kodner IJ, et al. Laparoscopic-assisted ileocolic resections in patients with Crohn disease: are abscesses, phlegmons, or recurrent disease contraindications? Surgery. 1997;122(4):682–8. discussion 8–9.

    Article  PubMed  CAS  Google Scholar 

  76. Milsom JW. Laparoscopic surgery in the treatment of Crohn disease. Surg Clin North Am. 2005;85(1):25–34. vii.

    Article  PubMed  Google Scholar 

  77. Seymour NE, Kavic SM. Laparoscopic management of complex Crohn disease. JSLS. 2003;7(2):117–21.

    PubMed  Google Scholar 

  78. Benoist S, Panis Y, Beaufour A, et al. Laparoscopic ileocecal resection in Crohn disease: a case-matched comparison with open resection. Surg Endosc. 2003;17(5):814–8.

    Article  PubMed  CAS  Google Scholar 

  79. Evans J, Poritz L, MacRae H. Influence of experience on laparoscopic ileocolic resection for Crohn disease. Dis Colon Rectum. 2002;45(12):1595–600.

    Article  PubMed  Google Scholar 

  80. Watanabe M, Ohgami M, Teramoto T, et al. Laparoscopic ileocecal resection for Crohn disease associated with intestinal stenosis and ileorectal fistula. Surg Today. 1999;29(5):446–8.

    Article  PubMed  CAS  Google Scholar 

  81. Cima RR, Wolff BG. Reoperative Crohn surgery: tricks of the trade. Clin Colon Rectal Surg. 2007;20(4):336–43.

    Article  PubMed  Google Scholar 

  82. Uchikoshi F, Ito T, Nezu R, et al. Advantages of laparoscope-assisted surgery for recurrent Crohn disease. Surg Endosc. 2004;18(11):1675–9.

    PubMed  CAS  Google Scholar 

  83. Hasegawa H, Watanabe M, Nishibori H, et al. Laparoscopic surgery for recurrent Crohn disease. Br J Surg. 2003;90(8):970–3.

    Article  PubMed  CAS  Google Scholar 

  84. Thaler K, Dinnewitzer A, Oberwalder M, et al. Assessment of long-term quality of life after laparoscopic and open surgery for Crohn disease. Colorectal Dis. 2005;7(4):375–81.

    Article  PubMed  CAS  Google Scholar 

  85. Andersson P, Olaison G, Hallbook O, Sjodahl R. Segmental resection or subtotal colectomy in Crohn colitis? Dis Colon Rectum. 2002;45(1):47–53.

    Article  PubMed  CAS  Google Scholar 

  86. Martel P, Betton PO, Gallot D, Malafosse M. Crohn colitis: experience with segmental resections; results in a series of 84 patients. J Am Coll Surg. 2002;194(4):448–53.

    Article  PubMed  Google Scholar 

  87. Bernell O, Lapidus A, Hellers G. Recurrence after colectomy in Crohn colitis. Dis Colon Rectum. 2001;44(5):647–54. discussion 54.

    Article  PubMed  CAS  Google Scholar 

  88. Fichera A, McCormack R, Rubin MA, et al. Long-term outcome of surgically treated Crohn colitis: a prospective study. Dis Colon Rectum. 2005;48(5):963–9.

    Article  PubMed  Google Scholar 

  89. Rieger N, Collopy B, Fink R, et al. Total colectomy for Crohn disease. Aust N Z J Surg. 1999;69(1):28–30.

    Article  PubMed  CAS  Google Scholar 

  90. Proctor ML, Langer JC, Gerstle JT, Kim PC. Is laparoscopic subtotal colectomy better than open subtotal colectomy in children? J Pediatr Surg. 2002;37(5):706–8.

    Article  PubMed  CAS  Google Scholar 

  91. Lewis RT, Maron DJ. Anorectal Crohn disease. Surg Clin North Am. 2010;90(1):83–97.

    Article  PubMed  Google Scholar 

  92. Duff S, Sagar P, Rao M, Dolling S, Sprakes M, Hamlin PJ. Infliximab and surgical treatment of complex anal Crohn’s disease. Colorectal Dis. 2012;14(8):972–6. doi:10.1111/j.1463-1318.2011.02811.x.

    Article  PubMed  CAS  Google Scholar 

  93. Sandborn WJ, Fazio VW, Feagan BG, Hanauer SB. AGA technical review on perianal Crohn disease. Gastroenterology. 2003;125(5):1508–30.

    Article  PubMed  Google Scholar 

  94. Judge TA, Lichtenstein GR. Treatment of fistulizing Crohn disease. Gastroenterol Clin North Am. 2004;33(2):421–54. xi-xii.

    Article  PubMed  Google Scholar 

  95. Regueiro M, Mardini H. Treatment of perianal fistulizing Crohn disease with infliximab alone or as an adjunct to exam under anesthesia with seton placement. Inflamm Bowel Dis. 2003;9(2): 98–103.

    Article  PubMed  Google Scholar 

  96. Topstad DR, Panaccione R, Heine JA, et al. Combined seton placement, infliximab infusion, and maintenance immunosuppressives improve healing rate in fistulizing anorectal Crohn disease: a single center experience. Dis Colon Rectum. 2003;46(5): 577–83.

    Article  PubMed  Google Scholar 

  97. Poritz LS, Rowe WA, Koltun WA. Remicade does not abolish the need for surgery in fistulizing Crohn disease. Dis Colon Rectum. 2002;45(6):771–5.

    Article  PubMed  Google Scholar 

  98. Galandiuk S, Kimberling J, Al-Mishlab TG, Stromberg AJ. Perianal Crohn disease: predictors of need for permanent diversion. Ann Surg. 2005;241(5):796–801. discussion −2.

    Article  PubMed  Google Scholar 

  99. Rintala RJ, Lindahl HG. Proctocolectomy and J-pouch ileo-anal anastomosis in children. J Pediatr Surg. 2002;37(1):66–70.

    Article  PubMed  CAS  Google Scholar 

  100. Su FW, Beckman DB, Yarnold PA, Grammer LC. Low incidence of complications in asthmatic patients treated with preoperative corticosteroids. Allergy Asthma Proc. 2004;25(5):327–33.

    PubMed  Google Scholar 

  101. Marchal L, D’Haens G, Van Assche G, et al. The risk of post-operative complications associated with infliximab therapy for Crohn disease: a controlled cohort study. Aliment Pharmacol Ther. 2004;19(7):749–54.

    Article  PubMed  CAS  Google Scholar 

  102. Regueiro M, El-Hachem S, Kip KE, Schraut W, Baidoo L, Watson A, et al. Postoperative infliximab is not associated with an increase in adverse events in Crohn disease. Dig Dis Sci. 2011;56(12):3610–5.

    Article  PubMed  CAS  Google Scholar 

  103. Bordeianou L, Stein SL, Ho VP, Dursun A, Sands BE, Korzenik JR, et al. Immediate versus tailored prophylaxis to prevent symptomatic recurrences after surgery for ileocecal Crohn disease? Surgery. 2011;149(1):72–8.

    Article  PubMed  Google Scholar 

  104. Spinelli A, Sacchi M, Fiorino G, Danese S, Montorsi M. Risk of postoperative recurrence and postoperative management of Crohn disease. World J Gastroenterol. 2011;17(27):3213–9. Review.

    PubMed  Google Scholar 

  105. Schwartz DA, Maltz BE. Treatment of fistulizing inflammatory bowel disease. Gastroenterol Clin North Am. 2009;38(4):595–610. Review.

    Article  PubMed  Google Scholar 

  106. Rutgeerts P. Review article: recurrence of Crohn disease after surgery—the need for treatment of new lesions. Aliment Pharmacol Ther. 2006;24 Suppl 3:29–32.

    Article  PubMed  Google Scholar 

  107. Yoshida K, Fukunaga K, Ikeuchi H, et al. Scheduled infliximab monotherapy to prevent recurrence of Crohn’s disease following ileocolic or ileal resection: a 3-year prospective randomized open trial. Inflamm Bowel Dis. 2012;18(9):1617–23. doi:10.1002/ibd.21928.

    Article  PubMed  Google Scholar 

  108. Lemann M. Review article: can post-operative recurrence in Crohn disease be prevented? Aliment Pharmacol Ther. 2006;24 Suppl 3:22–8.

    Article  PubMed  Google Scholar 

  109. Sandborn WJ, Feagan BG. The efficacy of azathioprine and 6-mercaptopurine for the prevention of postoperative recurrence in patients with Crohn disease remains uncertain. Gastroenterology. 2004;127(3):990–3.

    Article  PubMed  CAS  Google Scholar 

  110. Rutgeerts P. Strategies in the prevention of post-operative recurrence in Crohn disease. Best Pract Res Clin Gastroenterol. 2003;17(1):63–73.

    Article  PubMed  CAS  Google Scholar 

  111. Pelletier AL, Stefanescu C, Vincent C, Etienney I, Mentré F, Soulé JC. Is the length of postoperative recurrence on the neo ileum terminal ileum predictable in Crohn disease? J Crohns Colitis. 2011;5(1):24–7.

    Article  PubMed  Google Scholar 

  112. Stephens M, Batres LA, Ng D, Baldassano R. Growth failure in the child with inflammatory bowel disease. Semin Gastrointest Dis. 2001;12(4):253–62.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, ML 2023, 45229, Cincinnati, OH, USA

    Daniel von Allmen MD

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  1. Daniel von Allmen MD
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Correspondence to Daniel von Allmen MD .

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Editors and Affiliations

  1. Perelman School of Medicine, The Children’s Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Petar Mamula

  2. School of Medicine--Greenville, Pediatric Gastroenterology & Nutrition, University of South Carolina, 200 Patewood Drive, Suite A-140, Greenville, 29615, South Carolina, USA

    Jonathan E. Markowitz

  3. Perelman School of Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Robert N. Baldassano

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von Allmen, D. (2013). Surgical Management of Crohn Disease in Children. In: Mamula, P., Markowitz, J., Baldassano, R. (eds) Pediatric Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5061-0_37

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  • DOI: https://doi.org/10.1007/978-1-4614-5061-0_37

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5060-3

  • Online ISBN: 978-1-4614-5061-0

  • eBook Packages: MedicineMedicine (R0)

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