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Published in: Pediatric Surgery International 12/2013

01-12-2013 | Review Article

Role of surgery in pediatric ulcerative colitis

Authors: Emanuela Ceriati, Francesco De Peppo, Massimo Rivosecchi

Published in: Pediatric Surgery International | Issue 12/2013

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Abstract

Pediatric ulcerative colitis (UC) has a more extensive and progressive clinical course than adult UC. Therefore, more aggressive initial therapies and more frequent surgical treatments are needed. The therapeutic goal is to gain clinical and laboratory control of the disease with minimal adverse effects while permitting the patient to function as normally as possible. Approximately 5–10 % of patients with UC require acute surgical intervention because of fulminant colitis refractory to medical therapy. Mucosal proctocolectomy with ileal J-pouch anal anastomosis is currently recommended as a standard curative surgical procedure for UC in both children and adults worldwide. This review will focus on the current issues regarding the surgical indications for pediatric UC, the technical details of procedures and results of most recent published series to take the most appropriate next step to improve the surgical outcomes and patients’ quality of life.
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Metadata
Title
Role of surgery in pediatric ulcerative colitis
Authors
Emanuela Ceriati
Francesco De Peppo
Massimo Rivosecchi
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 12/2013
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-013-3425-2

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