The burden of surgery and postoperative complications in children with inflammatory bowel disease
Author / Expert
Emma Fehmel, Warwick J. Teague, Di Simpson, Elizabeth McLeod, John M. Hutson, Jeremy Rosenbaum, Mark Oliver, George Alex, Sebastian K. King
Topic overview
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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