Ileal pouch-anal anastomosis with pediatric ulcerative colitis

Sho Haneda, Yuji Funayama, Kouhei Fukushima, Chikashi Shibata, Ken Ichi Takahashi, Hitoshi Ogawa, Kazuhiro Watanabe, Katuyoshi Kudo, Atushi Kohyama, Iwao Sasaki

Research output: Contribution to journalArticlepeer-review

Abstract

Few reports of surgery in children under 14 years of age have been made in ulcerative colitis (UC). Pediatric patients present special problems, such as, adverse influence on school life, indications from surgical treatment, and growth retardation. We studied how many pediatric patients with UC who underwent total proctocolectomy and hand-sewn ileo-anal anastomosis (IAA) at our hospital from 1987 to 2004. Indications for surgery were severe colitis in four, intractability in three, and massive bleeding in one. Emergency surgery was done in 5 patients. The mean preoperative dose of total corticosteroids was about 9,855mg as a dose equivalent to prednisolone. The only early postoperative complication was wound infection in 3 patients, while late postoperative complications, involved small bowel obstruction in two patients, and severe pouchitis, stenosis of the ileostomy, and anastomotic stenosis in one each. No severe complications were encountered. In long-term results, bowel function was satisfactory, no growth retardation was seen, and school life and employment were not interrupted. In conclusion, surgical treatment for pediatric UC patients provided good results.

Original languageEnglish
Pages (from-to)2087-2091
Number of pages5
JournalJapanese Journal of Gastroenterological Surgery
Volume41
Issue number12
DOIs
Publication statusPublished - 2008 Dec

Keywords

  • Pediatric
  • Surgery
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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