The burden of surgery and postoperative complications in children with inflammatory bowel disease

Journal of Pediatric Surgery
Emma FehmelSebastian K King

Abstract

Pediatric inflammatory bowel disease (IBD) may be associated with a higher burden of surgery and postoperative complications. This study aimed to measure the burden in pediatric IBD over a 20-year period in a large tertiary referral center. A retrospective review was conducted of children diagnosed with IBD between 1996 and 2015, with a focus upon operative intervention (excluding endoscopy) and postoperative outcomes. Of 786 IBD patients, 121/581 (20.8%) with Crohn's disease (CD) and 22/205 (10.7%) with ulcerative colitis (UC) underwent surgery during the study period. When comparing 10-year epochs for CD, median time from diagnosis to intervention decreased from 34 months to 3 months (P < 0.0001). Postoperative complications occurred in 16/121 (13%) CD patients (bowel obstruction: 10, anastomotic stricture: 4, stomal issues: 4, anastomotic leak: 1). Within the UC cohort, the median time from diagnosis to intervention decreased from 62 months to 6 months (P = 0.0019). Postoperative complications occurred in 9/22 (41%) UC patients (bowel obstruction: 7, stomal issues: 3, anastomotic stricture: 1). Compared with CD, complications were more frequent in UC patients (P = 0.004). Surgery and postoperative complications are common in...Continue Reading

Citations

May 21, 2019·Journal of Pediatric Surgery·Angela M KaoAndrew M Schulman
Mar 17, 2020·Journal of Pediatric Surgery·Naomi-Liza DenningBarrie S Rich
Jul 1, 2020·The Journal of Surgical Research·Naomi-Liza DenningAaron M Lipskar

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