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    
Abstract/OtherAbstract:
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.
Authors:
Kenji Tatsumi; Akira Sugita; Kazutaka Koganei; Ryo Futatsuki; Hirosuke Kuroki; Kyoko Yamada; Sayumi Nakao; Minako Sako; Hideaki Kimura; Katsuhiko Arai; Tsuneo Fukushima
Related Documents :
23330596 - The clinicopathological spectrum and management of intraductal papillary mucinous neopl...
12111626 - Effect of interferon-alpha(2a) on neutrophil adhesion and phagocytosis in chronic myelo...
10837176 - Systemic inflammation in hemorrhagic fever with renal syndrome correlates with hypotens...
23836576 - Serum levels of neopterin during antimicrobial treatment for mycobacterium ulcerans inf...
11198766 - Intracerebral haemorrhage and drug abuse in young adults.
19400606 - Different aspects of psoriasis: analysis of 150 iranian patients.
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    
Affiliation:
Department of Surgery, Yokohama Municipal Citizen's Hospital.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Insufficient ER-stress response causes selective mouse cerebellar granule cell degeneration resembli...
Next Document:  A case of duplication of the transverse colon in adult, lined with ciliated columnar and squamous ep...