| Ileoanal pouch procedures in children. | |
| | |
MedLine Citation:
|
PMID: 11685703 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The aim of this study was to review the long-term experience with colectomy and the ileoanal pouch procedure (IAPP) in children from one hospital. METHODS: Between 1977 and 2001, 168 children under 18 years of age underwent colectomy and IAPP. One hundred thirty-one had ulcerative colitis (UC). Twenty-six had familial colonic polyposis (FP), 9 had Hirschsprung's disease (HD), and 2 had colonic inertia. Ninety-seven had a J-pouch, 62 had a lateral pouch, and 9 had a straight pull-through (SP). The mean age was 13.9 years. RESULTS: Complications within 2 years included pouchitis (16%), ileoanal strictures (14%), and adhesions (7%). There were no deaths. Fifty-six patients (33%) required reoperation, including 20 revisions of large pouches and 8 conversions of SP to pouches because of stool frequency. Six children (3.6%) had later pouch removal (3 had Crohn's disease). Stool frequency at 6 months was 3.8 (mean). At 6 months 5% had occasional soiling. Eighty-four percent can delay defecation over 1(1/2) hours; 82% can urinate without a bowel movement. With a mean follow-up of 11.2 years, 94.6% are functioning well. CONCLUSIONS: Colectomy with IAPP is the preferred operation for children with UC, FP, and selected HD. The J-pouch is the preferred technique because of simplicity of construction and sparsity of complications. |
| | |
Authors:
|
E W Fonkalsrud; A Thakur; S Beanes |
Related Documents
:
|
23214213 - Vitamin d status and scholastic achievement in middle age childhood. 8224663 - Chronic constipation in children. 2806733 - Reducing spasticity to control muscle contracture of children with cerebral palsy. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of pediatric surgery Volume: 36 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2001 Nov |
Date Detail:
|
Created Date: 2001-10-30 Completed Date: 2002-03-07 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1689-92 Citation Subset: IM |
Copyright Information:
|
Copyright 2001 by W.B. Saunders Company. |
Affiliation:
|
Department of Surgery, UCLA Medical Center 709818, Los Angeles, CA 90095, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adenomatous Polyposis Coli
/
surgery* Adolescent Child Child, Preschool Colitis, Ulcerative / surgery* Female Follow-Up Studies Hirschsprung Disease / surgery* Humans Infant Male Postoperative Complications / etiology Proctocolectomy, Restorative / adverse effects, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Relationship between the type of RET/GDNF/NTN or SOX10 gene mutations and long-term results after su...
Next Document: Renal anomalies in the VATER animal model.