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Surgery in Pediatric Crohn's Disease: Indications, Timing and Post-Operative Management

Authors
 Seung Kim 
Citation
 PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION, Vol.20(1) : 14-21, 2017 
Journal Title
PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION
ISSN
 2234-8646 
Issue Date
2017
Keywords
Child ; Colorectal surgery ; Crohn disease ; Inflammatory bowel diseases
Abstract
Pediatric onset Crohn's disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, intestinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medically untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient's clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic modifications according to the conditions.
Files in This Item:
T201705512.pdf Download
DOI
10.5223/pghn.2017.20.1.14
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung(김승) ORCID logo https://orcid.org/0000-0003-4373-9828
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161668
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