Surgical management of Crohn's colitis.
Crohn's disease in childhood is changing. The incidence is increasing, colonic disease is becoming more prevalent in younger children, and colon reconstruction is more acceptable. Genetic phenotypes are influencing decisions for surgery, and targeted immunotherapy has renewed hope for more durable remissions following less extensive resections. The tasks facing the surgeon evaluating a child with Crohn's colitis include confirming the specific diagnostic subtype and selecting the correct procedure. This chapter will review the unique aspects of pediatric Crohn's colitis and the increased complexity of surgical choice for this most challenging presentation. Recent success with less extensive surgery offers renewed hope for children with intractable colonic disease.
Moir
Christopher R
CR
Division of Pediatric Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. moir.christopher@mayo.edu
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000714:Anastomosis, Surgical; D002648:Child; D003082:Colectomy; D003092:Colitis / Q000175:diagnosis / Q000601:surgery*; D003424:Crohn Disease / Q000175:diagnosis / Q000601:surgery*; D004750:Enteral Nutrition; D006801:Humans; D007081:Ileostomy; D011300:Preoperative Care; D016737:Proctocolectomy, Restorative; D012086:Reoperation
D000305:Adrenal Cortex Hormones