Ostomy Management for Pediatric Perianal Crohn's Disease

Space: StayCurrentMD Author: William R. Johnston, Rosa Hwang, Peter Mattei Published:

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William R. Johnston, Rosa Hwang, Peter Mattei

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Pediatric patients with perianal Crohn's Disease (CD) suffer recalcitrant fistulas, abscesses, and strictures. Fecal diversion is a palliative last resort, but the expected clinical course and long-term management of the ostomy for this population is unclear. We sought to identify factors predictive of ostomy takedown and establish management recommendations for fistulizing and stenosing disease.

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