| Surgery for ulcerative colitis in children (2004) | |||||||||||||||
Abstract | |||||||||||||||
| Pediatr Surg Int DOI T ORI Arnold Coran Massimo Rivosecchi Surgery for ulcerative colitis children Published online August Springer Verlag The treatment children ected ammatory bowel disease ulcerative colitis Crohn disease should seek reduce eliminate symptoms optimize nutritional status promote normal growth and development prevent complications and minimize the potential psychological ects chronic illness Because choice treatment nutritional medical surgical and treatment delivery systemic local may depend disease type and location very important assess the type site and extent disease diagnosis Children with are reported have more extensive disease than adults pancolitis pediatric patients who may face lifelong chronic disease long term ects treatments are particular concern and noncompliance important problem especially adolescents Children and adolescents affected frequently require colectomy because refractory chronic symptoms contrast colectomy should curative procedure for such patients Surgical options for include either total proctocolectomy with rectal mucosectomy and straight ileoanal anastomosis ERPT with without ileal pouch and temporary ileostomy colectomy with subtotal mucosectomy and ileo rectal anastomosis with mechanical stapler according the Knight Gri technique The ERPT with some variant pouch reservoir considered the procedure choice for requiring surgery because preserves continence without the need for permanent ileostomy The ERPT was proposed Ravitch. http://deepblue.lib.umich.edu/bitstream/2027.42/47165/1/383_2004_Article_1230.pdf | |||||||||||||||
Publication details | |||||||||||||||
| |||||||||||||||
Cited publications (3) | |||||||||||||||