CURRENT SURGICAL-MANAGEMENT OF PATIENTS WITH CHRONIC ULCERATIVE-COLITIS

Authors
Citation
Lw. Martin, CURRENT SURGICAL-MANAGEMENT OF PATIENTS WITH CHRONIC ULCERATIVE-COLITIS, Journal of pediatric gastroenterology and nutrition, 17(2), 1993, pp. 121-131
Citations number
34
Categorie Soggetti
Gastroenterology & Hepatology","Nutrition & Dietetics",Pediatrics
ISSN journal
02772116
Volume
17
Issue
2
Year of publication
1993
Pages
121 - 131
Database
ISI
SICI code
0277-2116(1993)17:2<121:CSOPWC>2.0.ZU;2-J
Abstract
This report consists of a review of an experience with total colectomy with mucosal proctectomy and neorectal reservoir for pediatric patien ts with ulcerative colitis. The entire experience includes 221 patient s, with 73 patients <21 years of age. Fifty-six consecutive surviving pediatric patients, all >1 year after operation, have been studied wit h 100% follow-up evaluation for up to 17 years after operation. Fifty (89%) are leading normal lives with an acceptable stool frequency and complete continence. A number of postoperative complications have been encountered that are of particular concern to the pediatric gastroent erologist. The most distressing finding has been the subsequent diagno sis of Crohn's disease in most of the patients whose postoperative cou rse was unsatisfactory. This underscores the need for a more accurate means of differentiating ulcerative colitis from Crohn's colitis befor e advising surgery.