Document Detail

Long-term outcomes of ileal pouch-anal canal anastomosis in children with ulcerative colitis.
MedLine Citation:
PMID:  24305096     Owner:  NLM     Status:  In-Data-Review    
The present study investigated the long-term outcomes of restorative proctocolectomy in pediatric patients with ulcerative colitis (UC). We report a series of 25 patients who underwent total proctocolectomy with ileal pouch-anal canal anastomosis (IACA). Surgery was performed for medically intractable colitis and severe colitis in 14 and 11 patients, respectively. Early and late complications were observed in 6 (24%) and 14 (56%) patients, respectively. The long-term quality of life outcomes were satisfactory, including both bowel function and social function. Growth retardation was observed in 6 patients. Five patients exhibited catch-up growth and 3 patients overcame growth retardation. Patients with growth retardation tended to have a younger onset and longer duration of UC, as well as a longer duration and higher total dose of steroid use. In conclusion, the long-term outcomes of pediatric patients with UC undergoing IACA are satisfactory. Furthermore, to minimize the risk of growth retardation, surgery should be performed without delay.
Kenji Tatsumi; Akira Sugita; Kazutaka Koganei; Ryo Futatsuki; Hirosuke Kuroki; Kyoko Yamada; Sayumi Nakao; Minako Sako; Hideaki Kimura; Katsuhiko Arai; Tsuneo Fukushima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology     Volume:  110     ISSN:  0446-6586     ISO Abbreviation:  Nihon Shokakibyo Gakkai Zasshi     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984683R     Medline TA:  Nihon Shokakibyo Gakkai Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  2081-8     Citation Subset:  IM    
Department of Surgery, Yokohama Municipal Citizen's Hospital.
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