StayCurrentMD · The burden of surgery and postoperative complications in children with inflammatory bowel disease
Article1 min read·Published Sep 2018Older

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

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Article · Sep 2018 · 1 min read

In brief

In brief

Retrospective 20-year study of 786 pediatric IBD patients examining surgical intervention rates and postoperative outcomes. Found 20.8% of Crohn's disease and 10.7% of ulcerative colitis patients required surgery, with median time to intervention for CD decreasing from 34 months to 3 months between study epochs.

Written by the GCMD Library team from the article.

Abstract

Background

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.

Methods

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.

Results

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 

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