Surgical Management of Ulcerative Colitis in Children and Adolescents: A Systematic Review from the APSA Outcomes and Evidence-Based Practice Committee

Systematic review from APSA examining surgical management of pediatric ulcerative colitis finds that most evidence is low-level (grade D) from single-center studies. Key findings: J-pouch may reduce stool frequency versus straight anastomosis, laparoscopic approaches offer shorter hospital stays, and surgical timing should be individualized without increased complication risk.