Surgical management of ulcerative colitis in childhood.
Ulcerative colitis (UC) is a more severe disease in children than in adults and is less likely to be cured without surgery. Total colectomy and rectal mucosectomy provide a permanent cure for children who have UC. Reconstruction with an endorectal ileal pull-through procedure with ileal reservoir is an excellent alternative to a permanent ileostomy. This operation can be performed with low morbidity and with an approximately 94% expectation of good-to-excellent function based on our clinical experience with 94 children and 273 adults.
Fonkalsrud
E W
EW
Department of Pediatric Surgery, UCLA School of Medicine 90024.
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D003082:Colectomy / Q000379:methods; D003093:Colitis, Ulcerative / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative / Q000379:methods