Crohn's disease in children.
Forty-one children with Crohn's disease were seen over a 10 year period. Fifty percent of these patients were diagnosed at ages 13 to 16 years. The colon and small bowel were involved in half of the patients. Twenty-six patients required surgery for resection of bowel or diversionary procedures. Sixty percent of the patients with small bowel disease alone responded to medical therapy. We have been unable to document that growth failure can be predictably reversed by surgery. There were no deaths in this series and no patient was lost to follow-up. At present, only one patient is unable to perform the full-time activities of daily living. The longest period of follow-up is 10 years.
D000293:Adolescent; D002648:Child; D003092:Colitis / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007079:Ileitis / Q000601:surgery; D008297:Male; D012008:Recurrence