TY - JOUR
T1 - Ileal pouch-anal anastomosis with pediatric ulcerative colitis
AU - Haneda, Sho
AU - Funayama, Yuji
AU - Fukushima, Kouhei
AU - Shibata, Chikashi
AU - Takahashi, Ken Ichi
AU - Ogawa, Hitoshi
AU - Watanabe, Kazuhiro
AU - Kudo, Katuyoshi
AU - Kohyama, Atushi
AU - Sasaki, Iwao
PY - 2008/12
Y1 - 2008/12
N2 - 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.
AB - 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.
KW - Pediatric
KW - Surgery
KW - Ulcerative colitis
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U2 - 10.5833/jjgs.41.2087
DO - 10.5833/jjgs.41.2087
M3 - Article
AN - SCOPUS:57849158722
VL - 41
SP - 2087
EP - 2091
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 12
ER -